@extends('layouts.app')

@section('web_title','首诊详情')

@section('css')
    <link href="{{ asset('css/case.css') }}" rel="stylesheet">
    <link href="{{ asset('css/webuploader.css') }}" rel="stylesheet">
    <link href="{{ asset('css/store.css') }}" rel="stylesheet">
    <link href="{{ asset('css/main.css') }}" rel="stylesheet">
@endsection
<!--照片显示modal-->
<div class="bgCover display-none"
     style="position:fixed;z-index:10000;width:100%;height:100%;top:0;background-color: rgba(0,0,0,0.7)">
    <div class="center">

        <img src="" alt="">
    </div>
</div>


@section('content')
    <div class="row">
        <div class="col-xs-12 content-box">
            <!--填充内容区域-->
            <div class="row">
                <div class="col-xs-12">
                    <div class="ibox float-e-margins">
                        <div class="ibox-title base-message">
                            <h5>患者基本信息</h5>
                            <div class="ibox-tools">
                                <a class="collapse-link">
                                    <i class="fa fa-chevron-up"></i>
                                </a>
                            </div>
                            <input type="hidden" id="record_id">
                            <input type="hidden" id="patient_id">
                        </div>
                        <div class="ibox-content">
                            @include('manage.store.patient_store_form')
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>

    <div class="row">
        <div class="col-xs-12">
            <!-- Nav tabs -->
            <ul class="nav nav-tabs" role="tablist" id="addCaseNavTabs">
                <li class="active" data-js="caseFirst" data-href="complaint" data-load="no" data-save="no"><a
                            href="#zhusu" data-toggle="tab">主诉</a></li>
                <li data-js="caseFirst" data-href="hpi" data-load="no" data-save="no"><a href="#xianbingshi"
                                                                                         data-toggle="tab">现病史</a></li>
                <li data-js="caseFirst" data-href="past" data-load="no" data-save="no"><a href="#jiwangshi"
                                                                                          data-toggle="tab">既往史</a></li>
                <li data-js="caseFirst" data-href="person" data-load="no" data-save="no"><a href="#gerenshi"
                                                                                            data-toggle="tab">个人史</a>
                </li>
                <li data-js="caseFirst" data-href="marriage" data-load="no" data-save="no"><a href="#hunyushi"
                                                                                              data-toggle="tab"
                                                                                              id="yjhysTab">婚育史</a>
                </li>
                <li data-js="caseFirst" data-href="family" data-load="no" data-save="no"><a href="#jiazushi"
                                                                                            data-toggle="tab">家族史</a>
                </li>
                <li data-js="casePublic" data-href="physical" data-load="no" data-save="no"><a href="#tigejiancha"
                                                                                               data-toggle="tab">体格检查</a>
                </li>
                <li data-js="casePublic" data-href="auxiliary" data-load="no" data-save="no"><a href="#fuzhujiancha"
                                                                                                data-toggle="tab">辅助检查</a>
                </li>
                <li data-js="casePublic" data-href="diagnose" data-load="no" data-save="no"><a href="#zhenduan"
                                                                                               data-toggle="tab">诊断</a>
                </li>
                <li data-js="casePublic" data-href="dispose" data-load="no" data-save="no"><a href="#chuli"
                                                                                              data-toggle="tab">处理</a>
                </li>

                @if(!Auth::user()->hospital->isWestern())
                    <li data-js="casePublic" data-href="complication" data-load="no" data-save="no"><a
                                href="#complication"
                                data-toggle="tab">并发症</a>
                    </li>
                @endif


                <li data-js="casePublic" data-href="yandidangan" data-load="no" data-save="no"><a href="#yandidangan"
                                                                                                  data-toggle="tab">眼底档案</a>
                </li>


            </ul>

            <!-- Tab panes -->
            <div class="tab-content">
                <!--主诉-->
                <div class="tab-pane active" id="zhusu">
                    <form id="zsForm">
                        <!--症状添加列表组 框-->
                        <div id="zs_symptom">
                            {{--症状组 1 不可删除--}}
                            <div class="row border-bottom-dashed padding-tb-15" id="zsGrop_1">
                                <div class="col-xs-10">
                                    <button type="button"
                                            class="btn btn-primary btn-outline btn-lg add-symptom but_Fonts"
                                            data-toggle="modal" data-target="#addSymptom" data-id="zsGrop_1">添加主要症状
                                    </button>
                                </div>
                                <!--主要症状标签列表-->
                                <div class="col-xs-12 margin-top-10 symptomList">
                                    <h3>主要症状：</h3>
                                    <ul class="sui-tag"></ul>
                                </div>
                                <!--持续时间和加重时间-->
                                <div class="col-xs-12 symptomList-form">
                                    <span>发病时间</span>
                                    <input type="text"
                                           class="form-control symptomList-input maxMonth started_at but_Fonts"
                                           name="started_at" data-toggle="datepicker"><i></i>
                                    <span class="padding-left-20">加重时间</span>
                                    <input type="text"
                                           class="form-control symptomList-input maxMonth exacerbated_at but_Fonts"
                                           name="exacerbated_at" data-toggle="datepicker"><i></i>
                                </div>
                            </div>
                            {{--症状组 2 可删除--}}
                            <div class="row border-bottom-dashed padding-tb-15 display-none" id="zsGrop_2">
                                <div class="col-xs-10">
                                    <button type="button"
                                            class="btn btn-primary btn-outline btn-lg add-symptom but_Fonts"
                                            data-toggle="modal" data-target="#addSymptom" data-id="zsGrop_2">添加主要症状
                                    </button>
                                </div>
                                <div class="col-xs-2 text-right">
                                    <button type="button" class="btn btn-outline btn-danger delete-symptom but_Fonts"
                                            data-id="zsGrop_2">删除
                                    </button>
                                </div>
                                <!--主要症状标签列表-->
                                <div class="col-xs-12 margin-top-10 symptomList">
                                    <h3>主要症状：</h3>
                                    <ul class="sui-tag"></ul>
                                </div>
                                <!--持续时间和加重时间-->
                                <div class="col-xs-12 symptomList-form">
                                    <span>发病时间</span>
                                    <input type="text"
                                           class="form-control symptomList-input maxMonth started_at but_Fonts"
                                           name="started_at" data-toggle="datepicker"><i></i>
                                    <span class="padding-left-20">加重时间</span>
                                    <input type="text"
                                           class="form-control symptomList-input maxMonth exacerbated_at but_Fonts"
                                           name="exacerbated_at" data-toggle="datepicker"><i></i>
                                </div>
                            </div>
                            {{--症状组 3 可删除--}}
                            <div class="row border-bottom-dashed padding-tb-15 display-none" id="zsGrop_3">
                                <div class="col-xs-10">
                                    <button type="button"
                                            class="btn btn-primary btn-outline btn-lg add-symptom but_Fonts"
                                            data-toggle="modal" data-target="#addSymptom" data-id="zsGrop_3">添加主要症状
                                    </button>
                                </div>
                                <div class="col-xs-2 text-right">
                                    <button type="button" class="btn btn-outline btn-danger delete-symptom but_Fonts"
                                            data-id="zsGrop_3">删除
                                    </button>
                                </div>
                                <!--主要症状标签列表-->
                                <div class="col-xs-12 margin-top-10 symptomList">
                                    <h3>主要症状：</h3>
                                    <ul class="sui-tag"></ul>
                                </div>
                                <!--持续时间和加重时间-->
                                <div class="col-xs-12 symptomList-form">
                                    <span>发病时间</span>
                                    <input type="text"
                                           class="form-control symptomList-input maxMonth started_at but_Fonts"
                                           name="started_at" data-toggle="datepicker"><i></i>
                                    <span class="padding-left-20">加重时间</span>
                                    <input type="text"
                                           class="form-control symptomList-input maxMonth exacerbated_at but_Fonts"
                                           name="exacerbated_at" data-toggle="datepicker"><i></i>
                                </div>
                            </div>
                            {{--症状组 4 可删除--}}
                            <div class="row border-bottom-dashed padding-tb-15 display-none" id="zsGrop_4">
                                <div class="col-xs-10">
                                    <button type="button"
                                            class="btn btn-primary btn-outline btn-lg add-symptom but_Fonts"
                                            data-toggle="modal" data-target="#addSymptom" data-id="zsGrop_4">添加主要症状
                                    </button>
                                </div>
                                <div class="col-xs-2 text-right">
                                    <button type="button" class="btn btn-outline btn-danger delete-symptom but_Fonts"
                                            data-id="zsGrop_4">删除
                                    </button>
                                </div>
                                <!--主要症状标签列表-->
                                <div class="col-xs-12 margin-top-10 symptomList">
                                    <h3>主要症状：</h3>
                                    <ul class="sui-tag"></ul>
                                </div>
                                <!--持续时间和加重时间-->
                                <div class="col-xs-12 symptomList-form">
                                    <span>发病时间</span>
                                    <input type="text"
                                           class="form-control symptomList-input maxMonth started_at but_Fonts"
                                           name="started_at" data-toggle="datepicker"><i></i>
                                    <span class="padding-left-20">加重时间</span>
                                    <input type="text"
                                           class="form-control symptomList-input maxMonth exacerbated_at but_Fonts"
                                           name="exacerbated_at" data-toggle="datepicker"><i></i>
                                </div>
                            </div>
                            {{--症状组 5 可删除--}}
                            <div class="row border-bottom-dashed padding-tb-15 display-none" id="zsGrop_5">
                                <div class="col-xs-10">
                                    <button type="button"
                                            class="btn btn-primary btn-outline btn-lg add-symptom but_Fonts"
                                            data-toggle="modal" data-target="#addSymptom" data-id="zsGrop_5">添加主要症状
                                    </button>
                                </div>
                                <div class="col-xs-2 text-right">
                                    <button type="button" class="btn btn-outline btn-danger delete-symptom but_Fonts"
                                            data-id="zsGrop_5">删除
                                    </button>
                                </div>
                                <!--主要症状标签列表-->
                                <div class="col-xs-12 margin-top-10 symptomList">
                                    <h3>主要症状：</h3>
                                    <ul class="sui-tag"></ul>
                                </div>
                                <!--持续时间和加重时间-->
                                <div class="col-xs-12 symptomList-form">
                                    <span>发病时间</span>
                                    <input type="text"
                                           class="form-control symptomList-input maxMonth started_at but_Fonts"
                                           name="started_at" data-toggle="datepicker"><i></i>
                                    <span class="padding-left-20">加重时间</span>
                                    <input type="text"
                                           class="form-control symptomList-input maxMonth exacerbated_at but_Fonts"
                                           name="exacerbated_at" data-toggle="datepicker"><i></i>
                                </div>
                            </div>
                        </div>
                        <!--追加症状按钮-->
                        <div class="row margin-top-15">
                            <div class="col-xs-12">
                                <button type="button" class="btn btn-outline btn-primary btn-lg but_Fonts"
                                        id="addZsSymptom"
                                        data-num="1">添加一组症状
                                </button>
                            </div>
                        </div>
                        <!-- 添加用药 川  17-11-14 -->
                        <div class="row xbs-separated margin-top-15">
                            <div class="col-xs-6">
                                <span>现用药</span>
                            </div>
                            <div class="col-xs-6 text-right">
                                {{--主诉添加用药 注意data-id 的值不可随意变--}}
                                <button type="button" class="btn btn-outline btn-primary addMedicationBtn but_Fonts"
                                        data-toggle="modal" data-target="#addMedication" data-id="zsAddMedication1">
                                    添加用药
                                </button>
                                {{--<div class="addMedicationBtn1" data-target="#addMedication" data-toggle="modal" data-id="zsAddMedication1"></div>--}}
                            </div>
                        </div>
                        <div class="row margin-top-15">
                            {{--主诉 添加用药相关id  不可随意变--}}
                            <div class="col-xs-12" id="zsAddMedication1"></div>
                        </div>
                        <!--体重变化-->
                        <div class="row margin-top-15 weight-change">
                            <div class="col-xs-3">
                                <span class="weight-title">体重变化</span>
                                <select class="form-control m-b zsWeightChangeSelect margin-bottom-0 but_Fonts"
                                        name="weightchange">
                                    <option value="0">无变化</option>
                                    <option value="1">上升</option>
                                    <option value="2">下降</option>
                                </select>
                            </div>
                            <div class="col-xs-5 zsWeightChangeSize display-none">
                                <select class="form-control m-b zsWeightchangestatus margin-bottom-0"
                                        name="weightchangestatus">
                                    <option value="1">明显</option>
                                    <option value="2">不明显</option>
                                </select>
                                <input type="number" class="form-control weightchangekg" name="weightchangekg"
                                       placeholder="请输入体重变化数量">
                                <span class="but_Fonts3">KG</span>
                            </div>
                        </div>
                        <!--血糖-->
                        <div class="row weight-change bloodSugar margin-top-15">
                            <div class="col-xs-3">
                                <span class="weight-title">空腹血糖</span>
                                <div class="input-content">
                                    <input type="number" name="limosis_low"
                                           class="form-control limosis_low bloodLowVal">
                                    <span>-</span>
                                    <input type="number" name="limosis_high"
                                           class="form-control limosis_high bloodHighVal">
                                    <span class="but_Fonts3">mmol/L</span>
                                </div>
                            </div>
                            <div class="col-xs-3">
                                <span class="weight-title">餐后2h血糖</span>
                                <div class="input-content">
                                    <input type="number" name="postprandial_low"
                                           class="form-control postprandial_low bloodLowVal">
                                    <span>-</span>
                                    <input type="number" name="postprandial_high"
                                           class="form-control postprandial_high bloodHighVal">
                                    <span class="but_Fonts3">mmol/L</span>
                                </div>
                            </div>
                        </div>
                        <!--备注-->
                        <div class="row margin-top-15" style="">
                            <div class="col-xs-12 xbs-separated">
                                <span>备注信息</span>
                            </div>
                        </div>
                        <div class="row margin-top-15">
                            <div class="col-xs-12 weight-change">
                                {{--<span class="weight-title">备注信息</span>--}}
                                <textarea name="remark" rows="10" maxlength="255" placeholder="请填写备注信息"></textarea>
                            </div>
                        </div>
                        <!--保存按钮-->
                        <div class="row margin-top-20">
                            <div class="col-xs-6 text-right">
                                <button type="button" class="btn btn-outline btn-primary btn-lg" id="zsSave">保存</button>
                            </div>
                            <div class="col-xs-6">
                                <button type="button" class="btn btn-outline btn-primary btn-lg" id="zsSaveNext">
                                    保存并下一步
                                </button>
                            </div>
                        </div>
                    </form>
                    <input type="hidden" class="zsId">
                </div>
                <!--现病史-->
                <div class="tab-pane" id="xianbingshi">
                    <div id="xbsGroupList">
                        {{--现病史原有--}}
                        <div id="xbsAddGroup0" class="ibox float-e-margins">
                            <div class="row xbs-separated first-xbs-separated">
                                <div class="col-xs-6">
                                    <span>现病史</span>
                                    <a class="collapse-link">
                                        <i class="fa fa-chevron-up"></i>
                                    </a>
                                </div>
                                <div class="col-xs-6 text-right">
                                    <button type="button" class="btn btn-outline btn-primary but_Fonts" id="addHpiGroup"
                                            data-num="0">追加一组现病史
                                    </button>
                                </div>
                            </div>
                            <div data-name="hpiSub" class="ibox-content">
                                <div class="row margin-top-15 input-box-one">
                                    <div class="col-xs-3 updataBox" data-name="started_at">
                                        <span class="input-title"><i class="mandatory"></i>起病日期</span>
                                        <input type="text" name="xbs_onsetdate"
                                               class="form-control input-content maxMonth but_Fonts"
                                               data-toggle="datepicker"
                                               placeholder="请输入起病日期">
                                    </div>
                                    <div class="col-xs-3 updataBox" data-name="inducement">
                                        <span class="input-title-position">诱因</span>
                                        <select class="form-control m-b input-content margin-bottom-0 but_Fonts"
                                                name="xbs_causeid">
                                            <option value="1">无明显诱因</option>
                                            <option value="2">情绪波动</option>
                                            <option value="3">工作压力大</option>
                                            <option value="4">其他</option>
                                        </select>
                                    </div>
                                    <div class="col-xs-3 updataBox" data-name="clinic_site">
                                        <span class="input-title">就诊地点</span>
                                        <input type="text" placeholder="20个字以内" name="xbs_causeremark"
                                               class="form-control input-content but_Fonts" maxlength="20">
                                    </div>
                                </div>
                                <div class="row margin-top-15 input-box-one">
                                    <div class="col-xs-3">
                                        <span class="input-title-position"><i class="mandatory"></i>起病症状</span>
                                        <button type="button" class="btn btn-primary btn-outline add-symptom but_Fonts"
                                                data-toggle="modal" data-target="#addSymptom" data-id="xbsAddGroup0">
                                            添加主要症状
                                        </button>
                                    </div>
                                    <div class="col-xs-9 margin-top-10 symptomList">
                                        <h3>主要症状：</h3>
                                        <ul class="sui-tag"></ul>
                                    </div>
                                </div>
                                <div class="row margin-top-15 xbs-input-two">
                                    <div class="col-xs-12 bloodInput" data-name="before_treatment">
                                        <span class="xbs-input-title">平时血糖值</span>
                                        <div class="xbs-input-box">
                                            <span>空腹血糖</span>
                                            <div class="input-content" data-name="fbg">
                                                <input type="number" data-name="low" name="xbs_emptyStomachLow"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="xbs_emptyStomachHigh"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>餐后2h血糖</span>
                                            <div class="input-content" data-name="2hpbg">
                                                <input type="number" data-name="low" name="xbs_afterMealLow"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="xbs_afterMealHigh"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>HbA1c</span>
                                            <div class="input-content" data-name="hba1c">
                                                <input type="number" name="xbs_hba1c" class="form-control hba1c">
                                                <span>%</span>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-xs-12 margin-top-15 bloodInput" data-name="after_treatment">
                                        <span class="xbs-input-title">治疗后血糖值</span>
                                        <div class="xbs-input-box">
                                            <span>空腹血糖</span>
                                            <div class="input-content" data-name="fbg">
                                                <input type="number" data-name="low" name="xbs_afterEmptyStomachLow"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="xbs_afterEmptyStomachHigh"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>餐后2h血糖</span>
                                            <div class="input-content" data-name="2hpbg">
                                                <input type="number" data-name="low" name="xbs_afterMealGloodLow"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="xbs_afterMealGloodHigh"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="row margin-top-15">
                                    <div class="col-xs-12">
                                        <button type="button"
                                                class="btn btn-primary btn-outline btn-lg addDiagnosisBtn but_Fonts"
                                                data-toggle="modal" data-target="#addDiagnosis"
                                                data-id="xbsAddDiagnosis0">添加诊断
                                        </button>
                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12 xbsAddDiagnosis" id="xbsAddDiagnosis0">

                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12">
                                        <button type="button"
                                                class="btn btn-outline btn-primary btn-lg addMedicationBtn but_Fonts"
                                                data-toggle="modal" data-target="#addMedication"
                                                data-id="xbsAddMedication0">添加现在用药
                                        </button>
                                    </div>
                                </div>
                                <div class="row margin-top-15 margin-bottom-15">
                                    <div class="col-xs-12 xbsAddMedication" id="xbsAddMedication0">

                                    </div>
                                </div>
                                @if(!Auth::user()->hospital->isWestern())
                                    <div class="hpiTcm chineseMedicineBox">
                                        {{--中医部分  添加汤药--}}
                                        <div class="row margin-top-15">
                                            <div class="col-xs-12">
                                                <button type="button"
                                                        class="btn btn-outline btn-primary btn-lg addTcmBtn"
                                                        data-toggle="modal" data-target="#addTcm" data-id="xbsAddTcm0">
                                                    添加汤药
                                                </button>
                                            </div>
                                        </div>
                                        <div class="row margin-top-15 margin-bottom-15">
                                            <div class="col-xs-12 xbsAddTcm" id="xbsAddTcm0">

                                            </div>
                                        </div>
                                        {{--中医部分  添加汤药--}}
                                    </div>
                                @endif

                                <div class="row xbsGroupSaveBox display-none">
                                    <div class="col-xs-12 text-right">
                                        <button type="button" class="btn btn-outline btn-primary btn-lg xbsGroupSave"
                                                data-id="xbsAddGroup0">更改
                                        </button>
                                    </div>
                                </div>
                            </div>
                            <input type="hidden" class="xbsGroupId">
                        </div>

                        {{--追加现病史1--}}
                        <div class="display-none ibox float-e-margins" id="xbsAddGroup1">
                            <div class="row xbs-separated">
                                <div class="col-xs-6">
                                    <span>现病史追加</span>
                                    <a class="collapse-link">
                                        <i class="fa fa-chevron-up"></i>
                                    </a>
                                </div>
                                <div class="col-xs-6 text-right">
                                    <button type="button" class="btn btn-outline btn-danger xbsAddGroupDelete but_Fonts"
                                            data-group="xbsAddGroup1">删除
                                    </button>
                                </div>
                            </div>
                            <div data-name="hpiSub" class="ibox-content">
                                <div class="row margin-top-15 input-box-one">
                                    <div class="col-xs-3 updataBox" data-name="started_at">
                                        <span class="input-title"><i class="mandatory"></i>起病日期</span>
                                        <input type="text" name="onsetdate"
                                               class="form-control input-content maxMonth but_Fonts"
                                               data-toggle="datepicker"
                                               placeholder="请输入起病日期">
                                    </div>
                                    <div class="col-xs-3 updataBox" data-name="inducement">
                                        <span class="input-title-position">诱因</span>
                                        <select class="form-control m-b input-content margin-bottom-0 but_Fonts"
                                                name="causeid">
                                            <option value="1">无明显诱因</option>
                                            <option value="2">情绪波动</option>
                                            <option value="3">工作压力大</option>
                                            <option value="4">其他</option>
                                        </select>
                                    </div>
                                    <div class="col-xs-3 updataBox" data-name="clinic_site">
                                        <span class="input-title">就诊地点</span>
                                        <input type="text" placeholder="20个字以内" name="causeremark"
                                               class="form-control input-content but_Fonts" maxlength="20">
                                    </div>
                                </div>
                                <div class="row margin-top-15 input-box-one">
                                    <div class="col-xs-3">
                                        <span class="input-title-position"><i class="mandatory"></i>起病症状</span>
                                        <button type="button" class="btn btn-primary btn-outline add-symptom"
                                                data-toggle="modal" data-target="#addSymptom" data-id="xbsAddGroup1">
                                            添加主要症状
                                        </button>
                                    </div>
                                    <div class="col-xs-9 margin-top-10 symptomList">
                                        <h3>主要症状：</h3>
                                        <ul class="sui-tag"></ul>
                                    </div>
                                </div>
                                <div class="row margin-top-15 xbs-input-two">
                                    <div class="col-xs-12 bloodInput" data-name="before_treatment">
                                        <span class="xbs-input-title">平时血糖值</span>
                                        <div class="xbs-input-box">
                                            <span>空腹血糖</span>
                                            <div class="input-content" data-name="fbg">
                                                <input type="number" data-name="low" name="before_n_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="before_n_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>餐后2h血糖</span>
                                            <div class="input-content" data-name="2hpbg">
                                                <input type="number" data-name="low" name="before_d_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="before_d_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>HbA1c</span>
                                            <div class="input-content" data-name="hba1c">
                                                <input type="number" data-name="hba1c" name="hba1c"
                                                       class="form-control hba1c">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-xs-12 margin-top-15 bloodInput" data-name="after_treatment">
                                        <span class="xbs-input-title">治疗后血糖值</span>
                                        <div class="xbs-input-box">
                                            <span>空腹血糖</span>
                                            <div class="input-content" data-name="fbg">
                                                <input type="number" data-name="low" name="after_n_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="after_n_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>餐后2h血糖</span>
                                            <div class="input-content" data-name="2hpbg">
                                                <input type="number" data-name="low" name="after_d_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="after_d_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="row margin-top-15">
                                    <div class="col-xs-12">
                                        <button type="button"
                                                class="btn btn-primary btn-outline btn-lg addDiagnosisBtn but_Fonts"
                                                data-toggle="modal" data-target="#addDiagnosis"
                                                data-id="xbsAddDiagnosis1">添加诊断
                                        </button>
                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12 hpiGroupTable xbsAddDiagnosis" id="xbsAddDiagnosis1">

                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12">
                                        <button type="button"
                                                class="btn btn-outline btn-primary btn-lg addMedicationBtn but_Fonts"
                                                data-toggle="modal" data-target="#addMedication"
                                                data-id="xbsAddMedication1">添加现在用药
                                        </button>
                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12 hpiGroupTable xbsAddMedication" id="xbsAddMedication1">
                                    </div>
                                </div>
                                @if(!Auth::user()->hospital->isWestern())
                                    <div class="hpiTcm chineseMedicineBox">
                                        {{--中医部分  添加汤药--}}
                                        <div class="row margin-top-15">
                                            <div class="col-xs-12">
                                                <button type="button"
                                                        class="btn btn-outline btn-primary btn-lg addTcmBtn but_Fonts"
                                                        data-toggle="modal" data-target="#addTcm" data-id="xbsAddTcm1">
                                                    添加汤药
                                                </button>
                                            </div>
                                        </div>
                                        <div class="row margin-top-15 margin-bottom-15">
                                            <div class="col-xs-12 hpiGroupTable xbsAddTcm" id="xbsAddTcm1">

                                            </div>
                                        </div>
                                        {{--中医部分  添加汤药--}}
                                    </div>
                                @endif

                                <div class="row xbsGroupSaveBox display-none">
                                    <div class="col-xs-12 text-right">
                                        <button type="button" class="btn btn-outline btn-primary btn-lg xbsGroupSave"
                                                data-id="xbsAddGroup1">更改
                                        </button>
                                    </div>
                                </div>
                            </div>
                            <input type="hidden" class="xbsGroupId">
                        </div>

                        {{--追加现病史2--}}
                        <div class="display-none ibox float-e-margins" id="xbsAddGroup2">
                            <div class="row xbs-separated">
                                <div class="col-xs-6">
                                    <span>现病史追加</span>
                                    <a class="collapse-link">
                                        <i class="fa fa-chevron-up"></i>
                                    </a>
                                </div>
                                <div class="col-xs-6 text-right">
                                    <button type="button" class="btn btn-outline btn-danger xbsAddGroupDelete but_Fonts"
                                            data-group="xbsAddGroup2">删除
                                    </button>
                                </div>
                            </div>
                            <div data-name="hpiSub" class="ibox-content">
                                <div class="row margin-top-15 input-box-one">
                                    <div class="col-xs-3 updataBox" data-name="started_at">
                                        <span class="input-title"><i class="mandatory"></i>起病日期</span>
                                        <input type="text" name="onsetdate"
                                               class="form-control input-content maxMonth but_Fonts"
                                               data-toggle="datepicker"
                                               placeholder="请输入起病日期">
                                    </div>
                                    <div class="col-xs-3 updataBox" data-name="inducement">
                                        <span class="input-title-position">诱因</span>
                                        <select class="form-control m-b input-content margin-bottom-0 but_Fonts"
                                                name="causeid">
                                            <option value="1">无明显诱因</option>
                                            <option value="2">情绪波动</option>
                                            <option value="3">工作压力大</option>
                                            <option value="4">其他</option>
                                        </select>
                                    </div>
                                    <div class="col-xs-3 updataBox" data-name="clinic_site">
                                        <span class="input-title">就诊地点</span>
                                        <input type="text" placeholder="20个字以内" name="causeremark"
                                               class="form-control input-content but_Fonts" maxlength="20">
                                    </div>
                                </div>
                                <div class="row margin-top-15 input-box-one">
                                    <div class="col-xs-3">
                                        <span class="input-title-position"><i class="mandatory"></i>起病症状</span>
                                        <button type="button" class="btn btn-primary btn-outline add-symptom"
                                                data-toggle="modal" data-target="#addSymptom" data-id="xbsAddGroup2">
                                            添加主要症状
                                        </button>
                                    </div>
                                    <div class="col-xs-9 margin-top-10 symptomList">
                                        <h3>主要症状：</h3>
                                        <ul class="sui-tag"></ul>
                                    </div>
                                </div>
                                <div class="row margin-top-15 xbs-input-two">
                                    <div class="col-xs-12 bloodInput" data-name="before_treatment">
                                        <span class="xbs-input-title">平时血糖值</span>
                                        <div class="xbs-input-box">
                                            <span>空腹血糖</span>
                                            <div class="input-content" data-name="fbg">
                                                <input type="number" data-name="low" name="before_n_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="before_n_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>餐后2h血糖</span>
                                            <div class="input-content" data-name="2hpbg">
                                                <input type="number" data-name="low" name="before_d_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="before_d_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>HbA1c</span>
                                            <div class="input-content" data-name="hba1c">
                                                <input type="number" data-name="hba1c" name="hba1c"
                                                       class="form-control hba1c">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-xs-12 margin-top-15 bloodInput" data-name="after_treatment">
                                        <span class="xbs-input-title">治疗后血糖值</span>
                                        <div class="xbs-input-box">
                                            <span>空腹血糖</span>
                                            <div class="input-content" data-name="fbg">
                                                <input type="number" data-name="low" name="after_n_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="after_n_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>餐后2h血糖</span>
                                            <div class="input-content" data-name="2hpbg">
                                                <input type="number" data-name="low" name="after_d_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="after_d_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="row margin-top-15">
                                    <div class="col-xs-12">
                                        <button type="button"
                                                class="btn btn-primary btn-outline btn-lg addDiagnosisBtn but_Fonts"
                                                data-toggle="modal" data-target="#addDiagnosis"
                                                data-id="xbsAddDiagnosis2">添加诊断
                                        </button>
                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12 hpiGroupTable xbsAddDiagnosis" id="xbsAddDiagnosis2">

                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12">
                                        <button type="button"
                                                class="btn btn-outline btn-primary btn-lg addMedicationBtn but_Fonts"
                                                data-toggle="modal" data-target="#addMedication"
                                                data-id="xbsAddMedication2">添加现在用药
                                        </button>
                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12 hpiGroupTable xbsAddMedication" id="xbsAddMedication2">
                                    </div>
                                </div>
                                @if(!Auth::user()->hospital->isWestern())
                                    <div class="hpiTcm chineseMedicineBox">
                                        {{--中医部分  添加汤药--}}
                                        <div class="row margin-top-15">
                                            <div class="col-xs-12">
                                                <button type="button"
                                                        class="btn btn-outline btn-primary btn-lg addTcmBtn but_Fonts"
                                                        data-toggle="modal" data-target="#addTcm" data-id="xbsAddTcm2">
                                                    添加汤药
                                                </button>
                                            </div>
                                        </div>
                                        <div class="row margin-top-15 margin-bottom-15">
                                            <div class="col-xs-12 hpiGroupTable xbsAddTcm" id="xbsAddTcm2">

                                            </div>
                                        </div>
                                        {{--中医部分  添加汤药--}}
                                    </div>
                                @endif


                                <div class="row  xbsGroupSaveBox display-none">
                                    <div class="col-xs-12 text-right">
                                        <button type="button" class="btn btn-outline btn-primary btn-lg xbsGroupSave"
                                                data-id="xbsAddGroup2">更改
                                        </button>
                                    </div>
                                </div>
                            </div>
                            <input type="hidden" class="xbsGroupId">
                        </div>

                        {{--追加现病史3--}}
                        <div class="display-none ibox float-e-margins" id="xbsAddGroup3">
                            <div class="row xbs-separated">
                                <div class="col-xs-6">
                                    <span>现病史追加</span>
                                    <a class="collapse-link">
                                        <i class="fa fa-chevron-up"></i>
                                    </a>
                                </div>
                                <div class="col-xs-6 text-right">
                                    <button type="button" class="btn btn-outline btn-danger xbsAddGroupDelete but_Fonts"
                                            data-group="xbsAddGroup3">删除
                                    </button>
                                </div>
                            </div>
                            <div data-name="hpiSub" class="ibox-content">
                                <div class="row margin-top-15 input-box-one">
                                    <div class="col-xs-3 updataBox" data-name="started_at">
                                        <span class="input-title"><i class="mandatory"></i>起病日期</span>
                                        <input type="text" name="onsetdate"
                                               class="form-control input-content maxMonth but_Fonts"
                                               data-toggle="datepicker"
                                               placeholder="请输入起病日期">
                                    </div>
                                    <div class="col-xs-3 updataBox" data-name="inducement">
                                        <span class="input-title-position">诱因</span>
                                        <select class="form-control m-b input-content margin-bottom-0 but_Fonts"
                                                name="causeid">
                                            <option value="1">无明显诱因</option>
                                            <option value="2">情绪波动</option>
                                            <option value="3">工作压力大</option>
                                            <option value="4">其他</option>
                                        </select>
                                    </div>
                                    <div class="col-xs-3 updataBox" data-name="clinic_site">
                                        <span class="input-title">就诊地点</span>
                                        <input type="text" placeholder="20个字以内" name="causeremark"
                                               class="form-control input-content but_Fonts" maxlength="20">
                                    </div>
                                </div>
                                <div class="row margin-top-15 input-box-one">
                                    <div class="col-xs-3">
                                        <span class="input-title-position"><i class="mandatory"></i>起病症状</span>
                                        <button type="button" class="btn btn-primary btn-outline add-symptom"
                                                data-toggle="modal" data-target="#addSymptom" data-id="xbsAddGroup3">
                                            添加主要症状
                                        </button>
                                    </div>
                                    <div class="col-xs-9 margin-top-10 symptomList">
                                        <h3>主要症状：</h3>
                                        <ul class="sui-tag"></ul>
                                    </div>
                                </div>
                                <div class="row margin-top-15 xbs-input-two">
                                    <div class="col-xs-12 bloodInput" data-name="before_treatment">
                                        <span class="xbs-input-title">平时血糖值</span>
                                        <div class="xbs-input-box">
                                            <span>空腹血糖</span>
                                            <div class="input-content" data-name="fbg">
                                                <input type="number" data-name="low" name="before_n_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="before_n_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>餐后2h血糖</span>
                                            <div class="input-content" data-name="2hpbg">
                                                <input type="number" data-name="low" name="before_d_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="before_d_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>HbA1c</span>
                                            <div class="input-content" data-name="hba1c">
                                                <input type="number" data-name="hba1c" name="hba1c"
                                                       class="form-control hba1c">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-xs-12 margin-top-15 bloodInput" data-name="after_treatment">
                                        <span class="xbs-input-title">治疗后血糖值</span>
                                        <div class="xbs-input-box">
                                            <span>空腹血糖</span>
                                            <div class="input-content" data-name="fbg">
                                                <input type="number" data-name="low" name="after_n_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="after_n_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>餐后2h血糖</span>
                                            <div class="input-content" data-name="2hpbg">
                                                <input type="number" data-name="low" name="after_d_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="after_d_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="row margin-top-15">
                                    <div class="col-xs-12">
                                        <button type="button"
                                                class="btn btn-primary btn-outline btn-lg addDiagnosisBtn but_Fonts"
                                                data-toggle="modal" data-target="#addDiagnosis"
                                                data-id="xbsAddDiagnosis3">添加诊断
                                        </button>
                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12 hpiGroupTable xbsAddDiagnosis" id="xbsAddDiagnosis3">

                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12">
                                        <button type="button"
                                                class="btn btn-outline btn-primary btn-lg addMedicationBtn but_Fonts"
                                                data-toggle="modal" data-target="#addMedication"
                                                data-id="xbsAddMedication3">添加现在用药
                                        </button>
                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12 hpiGroupTable xbsAddMedication" id="xbsAddMedication3">
                                    </div>
                                </div>
                                @if(!Auth::user()->hospital->isWestern())
                                    <div class="hpiTcm chineseMedicineBox">
                                        {{--中医部分  添加汤药--}}
                                        <div class="row margin-top-15">
                                            <div class="col-xs-12">
                                                <button type="button"
                                                        class="btn btn-outline btn-primary btn-lg addTcmBtn but_Fonts"
                                                        data-toggle="modal" data-target="#addTcm" data-id="xbsAddTcm3">
                                                    添加汤药
                                                </button>
                                            </div>
                                        </div>
                                        <div class="row margin-top-15 margin-bottom-15">
                                            <div class="col-xs-12 hpiGroupTable xbsAddTcm" id="xbsAddTcm3">

                                            </div>
                                        </div>
                                        {{--中医部分  添加汤药--}}
                                    </div>
                                @endif
                                <div class="row xbsGroupSaveBox display-none">
                                    <div class="col-xs-12 text-right">
                                        <button type="button" class="btn btn-outline btn-primary btn-lg xbsGroupSave"
                                                data-id="xbsAddGroup3">更改
                                        </button>
                                    </div>
                                </div>
                            </div>
                            <input type="hidden" class="xbsGroupId">
                        </div>

                        {{--追加现病史4--}}
                        <div class="display-none ibox float-e-margins" id="xbsAddGroup4">
                            <div class="row xbs-separated">
                                <div class="col-xs-6">
                                    <span>现病史追加</span>
                                    <a class="collapse-link">
                                        <i class="fa fa-chevron-up"></i>
                                    </a>
                                </div>
                                <div class="col-xs-6 text-right">
                                    <button type="button" class="btn btn-outline btn-danger xbsAddGroupDelete but_Fonts"
                                            data-group="xbsAddGroup4">删除
                                    </button>
                                </div>
                            </div>
                            <div data-name="hpiSub" class="ibox-content">
                                <div class="row margin-top-15 input-box-one">
                                    <div class="col-xs-3 updataBox" data-name="started_at">
                                        <span class="input-title"><i class="mandatory"></i>起病日期</span>
                                        <input type="text" name="onsetdate"
                                               class="form-control input-content maxMonth but_Fonts"
                                               data-toggle="datepicker"
                                               placeholder="请输入起病日期">
                                    </div>
                                    <div class="col-xs-3 updataBox" data-name="inducement">
                                        <span class="input-title-position">诱因</span>
                                        <select class="form-control m-b input-content margin-bottom-0 but_Fonts"
                                                name="causeid">
                                            <option value="1">无明显诱因</option>
                                            <option value="2">情绪波动</option>
                                            <option value="3">工作压力大</option>
                                            <option value="4">其他</option>
                                        </select>
                                    </div>
                                    <div class="col-xs-3 updataBox" data-name="clinic_site">
                                        <span class="input-title">就诊地点</span>
                                        <input type="text" placeholder="20个字以内" name="causeremark"
                                               class="form-control input-content but_Fonts" maxlength="20">
                                    </div>
                                </div>
                                <div class="row margin-top-15 input-box-one">
                                    <div class="col-xs-3">
                                        <span class="input-title-position"><i class="mandatory"></i>起病症状</span>
                                        <button type="button" class="btn btn-primary btn-outline add-symptom"
                                                data-toggle="modal" data-target="#addSymptom" data-id="xbsAddGroup4">
                                            添加主要症状
                                        </button>
                                    </div>
                                    <div class="col-xs-9 margin-top-10 symptomList">
                                        <h3>主要症状：</h3>
                                        <ul class="sui-tag"></ul>
                                    </div>
                                </div>
                                <div class="row margin-top-15 xbs-input-two">
                                    <div class="col-xs-12 bloodInput" data-name="before_treatment">
                                        <span class="xbs-input-title">平时血糖值</span>
                                        <div class="xbs-input-box">
                                            <span>空腹血糖</span>
                                            <div class="input-content" data-name="fbg">
                                                <input type="number" data-name="low" name="before_n_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="before_n_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>餐后2h血糖</span>
                                            <div class="input-content" data-name="2hpbg">
                                                <input type="number" data-name="low" name="before_d_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="before_d_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>HbA1c</span>
                                            <div class="input-content" data-name="hba1c">
                                                <input type="number" data-name="hba1c" name="hba1c"
                                                       class="form-control hba1c">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-xs-12 margin-top-15 bloodInput" data-name="after_treatment">
                                        <span class="xbs-input-title">治疗后血糖值</span>
                                        <div class="xbs-input-box">
                                            <span>空腹血糖</span>
                                            <div class="input-content" data-name="fbg">
                                                <input type="number" data-name="low" name="after_n_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="after_n_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                        <div class="xbs-input-box">
                                            <span>餐后2h血糖</span>
                                            <div class="input-content" data-name="2hpbg">
                                                <input type="number" data-name="low" name="after_d_glood_low"
                                                       class="form-control bloodLowVal">
                                                <span>-</span>
                                                <input type="number" data-name="high" name="after_d_glood_high"
                                                       class="form-control bloodHighVal">
                                                <span>mmol/L</span>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="row margin-top-15">
                                    <div class="col-xs-12">
                                        <button type="button"
                                                class="btn btn-primary btn-outline btn-lg addDiagnosisBtn but_Fonts"
                                                data-toggle="modal" data-target="#addDiagnosis"
                                                data-id="xbsAddDiagnosis4">添加诊断
                                        </button>
                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12 hpiGroupTable xbsAddDiagnosis" id="xbsAddDiagnosis4">

                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12">
                                        <button type="button"
                                                class="btn btn-outline btn-primary btn-lg addMedicationBtn but_Fonts"
                                                data-toggle="modal" data-target="#addMedication"
                                                data-id="xbsAddMedication4">添加现在用药
                                        </button>
                                    </div>
                                </div>
                                <div class="row margin-top-15">
                                    <div class="col-xs-12 hpiGroupTable xbsAddMedication" id="xbsAddMedication4">
                                    </div>
                                </div>
                                @if(!Auth::user()->hospital->isWestern())
                                    <div class="hpiTcm chineseMedicineBox">
                                        {{--中医部分  添加汤药--}}
                                        <div class="row margin-top-15">
                                            <div class="col-xs-12">
                                                <button type="button"
                                                        class="btn btn-outline btn-primary btn-lg addTcmBtn but_Fonts"
                                                        data-toggle="modal" data-target="#addTcm" data-id="xbsAddTcm4">
                                                    添加汤药
                                                </button>
                                            </div>
                                        </div>
                                        <div class="row margin-top-15 margin-bottom-15">
                                            <div class="col-xs-12 hpiGroupTable xbsAddTcm" id="xbsAddTcm4">

                                            </div>
                                        </div>
                                        {{--中医部分  添加汤药--}}
                                    </div>
                                @endif


                                <div class="row xbsGroupSaveBox display-none">
                                    <div class="col-xs-12 text-right">
                                        <button type="button" class="btn btn-outline btn-primary btn-lg xbsGroupSave"
                                                data-id="xbsAddGroup4">更改
                                        </button>
                                    </div>
                                </div>
                            </div>
                            <input type="hidden" class="xbsGroupId">
                        </div>
                    </div>


                    <div class="row">
                        <div class="col-xs-12 xbs-separated">
                            <span>一般情况</span>
                        </div>
                    </div>
                    <div class="row margin-top-15">
                    {{--<div class="col-xs-12">--}}
                    {{--<table class="xbs-table">--}}
                    {{--<tbody>--}}
                    {{--<tr>--}}
                    {{--<td class="jzs-border-bottom bg-default">患者每天</td>--}}
                    {{--<td class="jzs-border-lr jzs-border-bottom" data-name="diet">--}}
                    {{--<div class="input-content" data-name="staple">--}}
                    {{--<span>主食</span>--}}
                    {{--<input type="number" placeholder="请填写主食重量" name="staplefood"--}}
                    {{--class="form-control input-content-center weightchangekg but_Fonts">--}}
                    {{--<span class="text-left">g</span>--}}
                    {{--</div>--}}
                    {{--<div class="margin-top-15">--}}
                    {{--<div class="xgb-foods-type" data-name="meat">--}}
                    {{--<span>肉类</span>--}}
                    {{--<label><input name="solidfood" type="radio" value="1"/>多</label>--}}
                    {{--<label><input name="solidfood" type="radio" value="2"--}}
                    {{--checked/>适量</label>--}}
                    {{--<label><input name="solidfood" type="radio" value="3"/>少</label>--}}
                    {{--</div>--}}
                    {{--<div class="xgb-foods-type" data-name="fat">--}}
                    {{--<span>油脂</span>--}}
                    {{--<label><input name="grease" type="radio" value="1"/>多</label>--}}
                    {{--<label><input name="grease" type="radio" value="2" checked/>适量</label>--}}
                    {{--<label><input name="grease" type="radio" value="3"/>少</label>--}}
                    {{--</div>--}}
                    {{--<div class="xgb-foods-type" data-name="vegetable">--}}
                    {{--<span>蔬菜</span>--}}
                    {{--<label><input name="vegetable" type="radio" value="1"/>多</label>--}}
                    {{--<label><input name="vegetable" type="radio" value="2"--}}
                    {{--checked/>适量</label>--}}
                    {{--<label><input name="vegetable" type="radio" value="3"/>少</label>--}}
                    {{--</div>--}}
                    {{--<div class="xgb-foods-type" data-name="fruit">--}}
                    {{--<span>水果</span>--}}
                    {{--<label><input name="fruits" type="radio" value="1"/>多</label>--}}
                    {{--<label><input name="fruits" type="radio" value="2" checked/>适量</label>--}}
                    {{--<label><input name="fruits" type="radio" value="3"/>少</label>--}}
                    {{--</div>--}}

                    {{--<div class="xgb-foods-type" data-name="salt" style="margin-top:0">--}}
                    {{--<span>食盐</span>--}}
                    {{--<label><input name="salt" type="radio" value="1"/>多</label>--}}
                    {{--<label><input name="salt" type="radio" value="2" checked/>适量</label>--}}
                    {{--<label><input name="salt" type="radio" value="3"/>少</label>--}}
                    {{--</div>--}}
                    {{--</div>--}}
                    {{--</td>--}}
                    {{--<td class="bg-default" rowspan="2">患者其他情况</td>--}}
                    {{--<td class="jzs-border-lr jzs-border-none-right" rowspan="2" data-name="normal">--}}
                    {{--<div class="margin-top-15">--}}
                    {{--<div class="xgb-foods-type" data-name="diet">--}}
                    {{--<span>饮食</span>--}}
                    {{--<label><input name="appetite" type="radio" value="1" checked/>佳</label>--}}
                    {{--<label><input name="appetite" type="radio" value="2"/>尚可</label>--}}
                    {{--<label><input name="appetite" type="radio" value="3"/>欠佳</label>--}}
                    {{--</div>--}}
                    {{--<div class="xgb-foods-type" data-name="sleep">--}}
                    {{--<span>睡眠</span>--}}
                    {{--<label><input name="sleep" type="radio" value="1" checked/>佳</label>--}}
                    {{--<label><input name="sleep" type="radio" value="2"/>尚可</label>--}}
                    {{--<label><input name="sleep" type="radio" value="3"/>欠佳</label>--}}
                    {{--</div>--}}
                    {{--<div class="xgb-foods-type" data-name="spirit">--}}
                    {{--<span>精神</span>--}}
                    {{--<label><input name="spirit" type="radio" value="1" checked/>佳</label>--}}
                    {{--<label><input name="spirit" type="radio" value="2"/>尚可</label>--}}
                    {{--<label><input name="spirit" type="radio" value="3"/>欠佳</label>--}}
                    {{--</div>--}}
                    {{--<div class="xgb-foods-type" data-name="emotion">--}}
                    {{--<span>情绪</span>--}}
                    {{--<label><input name="mood" type="radio" value="1" checked/>佳</label>--}}
                    {{--<label><input name="mood" type="radio" value="2"/>尚可</label>--}}
                    {{--<label><input name="mood" type="radio" value="3"/>欠佳</label>--}}
                    {{--</div>--}}
                    {{--<div class="xgb-foods-type" data-name="shit" data-type="obj">--}}
                    {{--<span>大便</span>--}}
                    {{--<select class="form-control m-b urine-select but_Fonts" name="urine"--}}
                    {{--data-name="value">--}}
                    {{--<option value="">请选择</option>--}}
                    {{--<option value="1">正常</option>--}}
                    {{--<option value="2">便秘</option>--}}
                    {{--<option value="3">腹泻</option>--}}
                    {{--<option value="4">偏干</option>--}}
                    {{--<option value="5">偏稀</option>--}}
                    {{--</select>--}}

                    {{--</div>--}}
                    {{--<div class="xgb-foods-type" data-name="shit" data-type="obj">--}}
                    {{--<span>大便频次</span>--}}
                    {{--<select class="form-control m-b urine-select urine-select1 but_Fonts" name="urine"--}}
                    {{--data-name="frequency">--}}
                    {{--<option value="">请选择</option>--}}
                    {{--<option value="1">0次</option>--}}
                    {{--<option value="2">1次</option>--}}
                    {{--<option value="3">1~2次</option>--}}
                    {{--<option value="4">2~3次</option>--}}
                    {{--<option value="5">3~5次</option>--}}
                    {{--<option value="6">5次以上</option>--}}
                    {{--</select>--}}
                    {{--</div>--}}
                    {{--<div class="xgb-foods-type" style="float:left;" data-name="shit"--}}
                    {{--data-type="obj">--}}
                    {{--<span>&nbsp;&nbsp;备注</span>--}}
                    {{--<input type="text" data-name="remark" name="shitremark"--}}
                    {{--class="form-control shitremark but_Fonts" maxlength="50"--}}
                    {{--placeholder="请填写大便备注">--}}
                    {{--</div>--}}
                    {{--<div style="clear:both"></div>--}}

                    {{--<div class="xgb-foods-type" data-name="pee" data-type="obj">--}}
                    {{--<span>小便</span>--}}
                    {{--<select class="form-control m-b urine-select but_Fonts" name="urine"--}}
                    {{--data-name="frequency">--}}
                    {{--<option value="0">请选择</option>--}}
                    {{--<option value="3">正常</option>--}}
                    {{--<option value="1">次数偏多</option>--}}
                    {{--<option value="2">次数偏少</option>--}}
                    {{--</select>--}}
                    {{--</div>--}}
                    {{--<div class="xgb-foods-type" data-name="pee" data-type="obj">--}}
                    {{--<span>小便(夜)</span>--}}

                    {{--<select class="form-control m-b urine-select but_Fonts" name="urine"--}}
                    {{--data-name="value">--}}
                    {{--<option value="0">请选择</option>--}}
                    {{--<option value="1">0次</option>--}}
                    {{--<option value="2">1次</option>--}}
                    {{--<option value="3">1~2次</option>--}}
                    {{--<option value="4">2~3次</option>--}}
                    {{--<option value="5">3~5次</option>--}}
                    {{--<option value="6">5次以上</option>--}}
                    {{--</select>--}}
                    {{--</div>--}}
                    {{--<div class="xgb-foods-type" style="float:left;margin-top:0" data-name="pee"--}}
                    {{--data-type="obj">--}}
                    {{--<span>&nbsp;&nbsp;备注</span>--}}
                    {{--<input data-name="remark" type="text" name="urineremark"--}}
                    {{--class="form-control shitremark but_Fonts" maxlength="50"--}}
                    {{--placeholder="请填写小便(夜)备注">--}}
                    {{--</div>--}}
                    {{--</div>--}}
                    {{--</td>--}}
                    {{--</tr>--}}
                    {{--<tr>--}}
                    {{--<td class="bg-default">患者运动</td>--}}
                    {{--<td class="jzs-border-lr" data-name="sport">--}}
                    {{--<select class="form-control m-b sport-select but_Fonts" name="sportsituation">--}}
                    {{--<option value="0">请选择</option>--}}
                    {{--<option value="1">不运动</option>--}}
                    {{--<option value="2">运动少</option>--}}
                    {{--<option value="3">偶尔运动</option>--}}
                    {{--<option value="4">每天30-60分钟</option>--}}
                    {{--<option value="5">每天60分钟以上</option>--}}
                    {{--</select>--}}
                    {{--</td>--}}
                    {{--</tr>--}}
                    {{--</tbody>--}}
                    {{--</table>--}}
                    {{--</div>--}}


                    <!--现病史重新布局  2019.1.2 ⬇-->
                        <div class="col-xs-12">
                            <table class="xbs-table">
                                <tbody>
                                <tr>
                                    <td class="jzs-border-bottom bg-default">患者每天</td>
                                    <td class="jzs-border-lr jzs-border-bottom" data-name="diet" style="height:320px;">
                                        <div class="line_right"
                                             style="width:22%;float: left; height:100%;border-right:1px solid rgb(229,231,231);position: relative">
                                            <div class="input-content center" data-name="staple">
                                                <span>主食全天</span>
                                                <input type="number" placeholder="请填写.." name="staplefood"
                                                       class="form-control input-content-center weightchangekg but_Fonts">
                                                <span class="text-left g">g</span>
                                            </div>
                                            {{--<div class="line_bottom"--}}
                                            {{--style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid transparent;"></div>--}}


                                            {{--<div class="input-content" data-name="meat">--}}
                                            {{--<span>肉类</span>--}}
                                            {{--<input type="number" placeholder="请填写.." name="solidfood"--}}
                                            {{--class="form-control input-content-center  but_Fonts">--}}
                                            {{--<span class="text-left g">g</span>--}}
                                            {{--</div>--}}
                                            {{--<div class="line_bottom"--}}
                                            {{--style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid transparent;"></div>--}}

                                            {{--<div class="input-content" data-name="vegetable">--}}
                                            {{--<span>素菜</span>--}}
                                            {{--<input type="number" placeholder="请填写.." name="vegetable"--}}
                                            {{--class="form-control input-content-center  but_Fonts">--}}
                                            {{--<span class="text-left g">g</span>--}}
                                            {{--</div>--}}
                                        </div>

                                        <div class="line_right"
                                             style="width:38%;float: left;border-right:1px solid rgb(229,231,231);height:100%;position:relative">
                                            <div class="center" style="width:100%" data-name="diet">
                                                <div class="input-content" data-name="breakfast"
                                                     style="float: left; width:49%;">
                                                    <span>早餐</span>
                                                    <input type="number" placeholder="请填写.." name="breakfast"
                                                           class="form-control input-content-center  but_Fonts breakfast"
                                                           style="width:43%;margin: 0 5px;">
                                                    <span class="text-left g">g</span>
                                                </div>
                                                <div class="input-content" data-name="breakfastAdditional"
                                                     style="float: left; width:49%;">
                                                    <span>加餐</span>
                                                    <input type="number" placeholder="请填写.." name="breakfastAdditional"
                                                           style="width:43%;margin: 0 5px;"
                                                           class="form-control input-content-center  but_Fonts breakfastAdditional">
                                                    <span class="text-left g">g</span>
                                                </div>
                                                <div class="line_bottom"
                                                     style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid transparent;"></div>
                                                <div class="line_bottom"
                                                     style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid rgb(229,231,231);"></div>


                                                <div class="input-content" data-name="lunch"
                                                     style="float: left; width:49%;">
                                                    <span>午餐</span>
                                                    <input type="number" placeholder="请填写.." name="lunch"
                                                           class="form-control input-content-center  but_Fonts lunch"
                                                           style="width:43%;margin: 0 5px;">
                                                    <span class="text-left g">g</span>
                                                </div>
                                                <div class="input-content" data-name="lunchAdditional"
                                                     style="float: left; width:49%;">
                                                    <span>加餐</span>
                                                    <input type="number" placeholder="请填写.." name="lunchAdd"
                                                           style="width:43%;margin: 0 5px;"
                                                           class="form-control input-content-center  but_Fonts lunchAdditional">
                                                    <span class="text-left g">g</span>
                                                </div>
                                                <div class="line_bottom"
                                                     style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid transparent;"></div>
                                                <div class="line_bottom"
                                                     style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid rgb(229,231,231);"></div>

                                                <div class="input-content" data-name="dinner"
                                                     style="float: left; width:49%;">
                                                    <span>晚餐</span>
                                                    <input type="number" placeholder="请填写.." name="dinner"
                                                           class="form-control input-content-center  but_Fonts dinner"
                                                           style="width:43%;margin: 0 5px;">
                                                    <span class="text-left g">g</span>
                                                </div>
                                                <div class="input-content" data-name="dinnerAdditional"
                                                     style="float: left; width:49%;">
                                                    <span>加餐</span>
                                                    <input type="number" placeholder="请填写.." name="dinnerAdd"
                                                           style="width:43%;margin: 0 5px;"
                                                           class="form-control input-content-center  but_Fonts dinnerAdditional">
                                                    <span class="text-left g">g</span>
                                                </div>
                                            </div>


                                        </div>
                                        <div class="line_right"
                                             style="width:40%;float: left;border-right:1px solid rgb(229,231,231);height:100%;">
                                            <div class="xgb-foods-type" data-name="fat">
                                                <span>油脂</span>
                                                <label><input name="grease" type="radio" value="1"/>多</label>
                                                <label><input name="grease" type="radio" value="2" checked/>适量</label>
                                                <label><input name="grease" type="radio" value="3"/>少</label>
                                            </div>
                                            <div class="line_bottom"
                                                 style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid transparent;"></div>
                                            <div class="line_bottom"
                                                 style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid rgb(229,231,231);"></div>

                                            <div class="xgb-foods-type" data-name="fruit">
                                                <span>水果</span>
                                                <label><input name="fruits" type="radio" value="1"/>多</label>
                                                <label><input name="fruits" type="radio" value="2" checked/>适量</label>
                                                <label><input name="fruits" type="radio" value="3"/>少</label>
                                            </div>
                                            <div class="line_bottom"
                                                 style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid transparent;"></div>
                                            <div class="line_bottom"
                                                 style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid rgb(229,231,231);"></div>


                                            <div class="xgb-foods-type" data-name="salt" style="margin-top:0">
                                                <span>食盐</span>
                                                <label><input name="salt" type="radio" value="1"/>多</label>
                                                <label><input name="salt" type="radio" value="2" checked/>适量</label>
                                                <label><input name="salt" type="radio" value="3"/>少</label>
                                            </div>

                                            <div class="line_bottom"
                                                 style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid transparent;"></div>
                                            <div class="line_bottom"
                                                 style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid rgb(229,231,231);"></div>
                                            <div class="margin-top-15">
                                                <div class="xgb-foods-type" data-name="meat">
                                                    <span>肉类</span>
                                                    <label><input name="solidfood" type="radio" value="1"/>多</label>
                                                    <label><input name="solidfood" type="radio" value="2"
                                                                  checked/>适量</label>
                                                    <label><input name="solidfood" type="radio" value="3"/>少</label>
                                                </div>

                                                <div class="line_bottom"
                                                     style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid transparent;"></div>
                                                <div class="line_bottom"
                                                     style="margin:8px auto;clear:both;width:90%;border-bottom:1px solid rgb(229,231,231);"></div>
                                                <div class="xgb-foods-type" data-name="vegetable">
                                                    <span>蔬菜</span>
                                                    <label><input name="vegetable" type="radio" value="1"/>多</label>
                                                    <label><input name="vegetable" type="radio" value="2"
                                                                  checked/>适量</label>
                                                    <label><input name="vegetable" type="radio" value="3"/>少</label>
                                                </div>

                                            </div>

                                        </div>
                                        {{--<div class="margin-top-15">--}}
                                        {{--<div class="xgb-foods-type" data-name="meat">--}}
                                        {{--<span>肉类</span>--}}
                                        {{--<label><input name="solidfood" type="radio" value="1"/>多</label>--}}
                                        {{--<label><input name="solidfood" type="radio" value="2"--}}
                                        {{--checked/>适量</label>--}}
                                        {{--<label><input name="solidfood" type="radio" value="3"/>少</label>--}}
                                        {{--</div>--}}
                                        {{--<div class="xgb-foods-type" data-name="fat">--}}
                                        {{--<span>油脂</span>--}}
                                        {{--<label><input name="grease" type="radio" value="1"/>多</label>--}}
                                        {{--<label><input name="grease" type="radio" value="2" checked/>适量</label>--}}
                                        {{--<label><input name="grease" type="radio" value="3"/>少</label>--}}
                                        {{--</div>--}}
                                        {{--<div class="xgb-foods-type" data-name="vegetable">--}}
                                        {{--<span>蔬菜</span>--}}
                                        {{--<label><input name="vegetable" type="radio" value="1"/>多</label>--}}
                                        {{--<label><input name="vegetable" type="radio" value="2"--}}
                                        {{--checked/>适量</label>--}}
                                        {{--<label><input name="vegetable" type="radio" value="3"/>少</label>--}}
                                        {{--</div>--}}
                                        {{--<div class="xgb-foods-type" data-name="fruit">--}}
                                        {{--<span>水果</span>--}}
                                        {{--<label><input name="fruits" type="radio" value="1"/>多</label>--}}
                                        {{--<label><input name="fruits" type="radio" value="2" checked/>适量</label>--}}
                                        {{--<label><input name="fruits" type="radio" value="3"/>少</label>--}}
                                        {{--</div>--}}

                                        {{--<div class="xgb-foods-type" data-name="salt" style="margin-top:0">--}}
                                        {{--<span>食盐</span>--}}
                                        {{--<label><input name="salt" type="radio" value="1"/>多</label>--}}
                                        {{--<label><input name="salt" type="radio" value="2" checked/>适量</label>--}}
                                        {{--<label><input name="salt" type="radio" value="3"/>少</label>--}}
                                        {{--</div>--}}
                                        {{--</div>--}}
                                    </td>
                                    {{--<td class="bg-default" rowspan="2">患者其他情况</td>--}}
                                    {{--<td class="jzs-border-lr jzs-border-none-right" rowspan="2" data-name="normal">--}}
                                    {{--<div class="margin-top-15">--}}
                                    {{--<div class="xgb-foods-type" data-name="diet">--}}
                                    {{--<span>饮食</span>--}}
                                    {{--<label><input name="appetite" type="radio" value="1" checked/>佳</label>--}}
                                    {{--<label><input name="appetite" type="radio" value="2"/>尚可</label>--}}
                                    {{--<label><input name="appetite" type="radio" value="3"/>欠佳</label>--}}
                                    {{--</div>--}}
                                    {{--<div class="xgb-foods-type" data-name="sleep">--}}
                                    {{--<span>睡眠</span>--}}
                                    {{--<label><input name="sleep" type="radio" value="1" checked/>佳</label>--}}
                                    {{--<label><input name="sleep" type="radio" value="2"/>尚可</label>--}}
                                    {{--<label><input name="sleep" type="radio" value="3"/>欠佳</label>--}}
                                    {{--</div>--}}
                                    {{--<div class="xgb-foods-type" data-name="spirit">--}}
                                    {{--<span>精神</span>--}}
                                    {{--<label><input name="spirit" type="radio" value="1" checked/>佳</label>--}}
                                    {{--<label><input name="spirit" type="radio" value="2"/>尚可</label>--}}
                                    {{--<label><input name="spirit" type="radio" value="3"/>欠佳</label>--}}
                                    {{--</div>--}}
                                    {{--<div class="xgb-foods-type" data-name="emotion">--}}
                                    {{--<span>情绪</span>--}}
                                    {{--<label><input name="mood" type="radio" value="1" checked/>佳</label>--}}
                                    {{--<label><input name="mood" type="radio" value="2"/>尚可</label>--}}
                                    {{--<label><input name="mood" type="radio" value="3"/>欠佳</label>--}}
                                    {{--</div>--}}
                                    {{--<div class="xgb-foods-type" data-name="shit" data-type="obj">--}}
                                    {{--<span>大便</span>--}}
                                    {{--<select class="form-control m-b urine-select but_Fonts" name="urine"--}}
                                    {{--data-name="value">--}}
                                    {{--<option value="">请选择</option>--}}
                                    {{--<option value="1">正常</option>--}}
                                    {{--<option value="2">便秘</option>--}}
                                    {{--<option value="3">腹泻</option>--}}
                                    {{--<option value="4">偏干</option>--}}
                                    {{--<option value="5">偏稀</option>--}}
                                    {{--</select>--}}

                                    {{--</div>--}}
                                    {{--<div class="xgb-foods-type" data-name="shit" data-type="obj">--}}
                                    {{--<span>大便频次</span>--}}
                                    {{--<select class="form-control m-b urine-select urine-select1 but_Fonts" name="urine"--}}
                                    {{--data-name="frequency">--}}
                                    {{--<option value="">请选择</option>--}}
                                    {{--<option value="1">0次</option>--}}
                                    {{--<option value="2">1次</option>--}}
                                    {{--<option value="3">1~2次</option>--}}
                                    {{--<option value="4">2~3次</option>--}}
                                    {{--<option value="5">3~5次</option>--}}
                                    {{--<option value="6">5次以上</option>--}}
                                    {{--</select>--}}
                                    {{--</div>--}}
                                    {{--<div class="xgb-foods-type" style="float:left;" data-name="shit"--}}
                                    {{--data-type="obj">--}}
                                    {{--<span>&nbsp;&nbsp;备注</span>--}}
                                    {{--<input type="text" data-name="remark" name="shitremark"--}}
                                    {{--class="form-control shitremark but_Fonts" maxlength="50"--}}
                                    {{--placeholder="请填写大便备注">--}}
                                    {{--</div>--}}
                                    {{--<div style="clear:both"></div>--}}

                                    {{--<div class="xgb-foods-type" data-name="pee" data-type="obj">--}}
                                    {{--<span>小便</span>--}}
                                    {{--<select class="form-control m-b urine-select but_Fonts" name="urine"--}}
                                    {{--data-name="frequency">--}}
                                    {{--<option value="0">请选择</option>--}}
                                    {{--<option value="3">正常</option>--}}
                                    {{--<option value="1">次数偏多</option>--}}
                                    {{--<option value="2">次数偏少</option>--}}
                                    {{--</select>--}}
                                    {{--</div>--}}
                                    {{--<div class="xgb-foods-type" data-name="pee" data-type="obj">--}}
                                    {{--<span>小便(夜)</span>--}}

                                    {{--<select class="form-control m-b urine-select but_Fonts" name="urine"--}}
                                    {{--data-name="value">--}}
                                    {{--<option value="0">请选择</option>--}}
                                    {{--<option value="1">0次</option>--}}
                                    {{--<option value="2">1次</option>--}}
                                    {{--<option value="3">1~2次</option>--}}
                                    {{--<option value="4">2~3次</option>--}}
                                    {{--<option value="5">3~5次</option>--}}
                                    {{--<option value="6">5次以上</option>--}}
                                    {{--</select>--}}
                                    {{--</div>--}}
                                    {{--<div class="xgb-foods-type" style="float:left;margin-top:0" data-name="pee"--}}
                                    {{--data-type="obj">--}}
                                    {{--<span>&nbsp;&nbsp;备注</span>--}}
                                    {{--<input data-name="remark" type="text" name="urineremark"--}}
                                    {{--class="form-control shitremark but_Fonts" maxlength="50"--}}
                                    {{--placeholder="请填写小便(夜)备注">--}}
                                    {{--</div>--}}
                                    {{--</div>--}}
                                    {{--</td>--}}
                                </tr>
                                <tr>
                                    <td class="bg-default jzs-border-bottom">患者运动</td>
                                    <td class="jzs-border-lr jzs-border-bottom" data-name="sport" style="padding:40px;">

                                        {{--<div class="sport" data-name="sportsituation"--}}
                                        {{--style="margin-top:0;float:left;width:16%;">--}}
                                        {{--<label><input name="sportsituation" type="radio" value="1"--}}
                                        {{--style="margin-right: 5px;vertical-align: text-top" checked/>不运动</label>--}}
                                        {{--<label><input name="sportsituation" type="radio" value="2"--}}
                                        {{--style="margin-right: 5px;vertical-align: text-top"/>运动少</label>--}}
                                        {{--<label><input name="sportsituation" type="radio" value="2"--}}
                                        {{--style="margin-right: 5px;vertical-align: text-top"/>偶尔运动</label>--}}
                                        {{--<label><input name="sportsituation" type="radio" value="1"--}}
                                        {{--style="margin-right: 5px;vertical-align: text-top"/>每天30-60分钟</label>--}}
                                        {{--<label style="margin-left:5%"><input name="sporttime" type="radio" value="4"--}}
                                        {{--style="margin-right: 5px;vertical-align: text-top"/>每天60分钟以上</label>--}}
                                        {{--</div>--}}
                                        <select class="form-control m-b sport-select but_Fonts sport"
                                                style="margin:-4px 5% auto auto;float:left;width:16%;">
                                            <option value="0">请选择</option>
                                            <option value="1">不运动</option>
                                            <option value="2">运动少</option>
                                            <option value="3">偶尔运动</option>
                                            <option value="4">每天30-60分钟</option>
                                            <option value="5">每天60分钟以上</option>
                                        </select>

                                        <span style="float:left; margin-right: 5px;">强度</span>
                                        <select class="form-control m-b sport-select but_Fonts sport_strength"
                                                name="sport_strength"
                                                style="width: 12%;float:left;margin:-4px 5% auto auto;">
                                            <option value="0">请选择</option>
                                            <option value="1">最轻运动</option>
                                            <option value="2">轻度运动</option>
                                            <option value="3">中度运动</option>
                                            <option value="4">强度运动</option>
                                        </select>

                                        <div class="sport" data-name="sport"
                                             style="margin-top:0; float:left;">
                                            <label>自定义</label>
                                        </div>
                                        <label><input name="sporttimetext" class="sport_time form-control" type="number"
                                                      style="float:left; width:35%; height:34px;margin-right: 5px;margin-top:-4px;vertical-align: text-top"/>分钟</label>
                                        {{--<select class="form-control m-b sport-select but_Fonts" name="sportsituation">--}}
                                        {{--<option value="0">请选择</option>--}}
                                        {{--<option value="1">不运动</option>--}}
                                        {{--<option value="2">运动少</option>--}}
                                        {{--<option value="3">偶尔运动</option>--}}
                                        {{--<option value="4">每天30-60分钟</option>--}}
                                        {{--<option value="5">每天60分钟以上</option>--}}
                                        {{--</select>--}}
                                    </td>
                                </tr>

                                <tr>
                                    <td class="bg-default jzs-border-tr jzs-border-none-left jzs-border-bottom"
                                        rowspan="2">患者一般情况
                                    </td>
                                    <td class="jzs-border-lr jzs-border-none-right jzs-border-bottom" rowspan="2"
                                        data-name="normal"
                                        style="padding: 0 0 0px 40px;">
                                        <div style="float:left; width:35%;border-right: 1px solid rgb(229,231,231);padding-top:40px;padding-bottom: 90px;">
                                            <div class="xgb-foods-type" data-name="diet">
                                                <span>饮食</span>
                                                <label style="margin-right:20px;"><input name="appetite" type="radio"
                                                                                         value="1" checked
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>佳</label>
                                                <label style="margin-right:20px;"><input name="appetite" type="radio"
                                                                                         value="2"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>尚可</label>
                                                <label><input name="appetite" type="radio" value="3"
                                                              style="vertical-align: text-top;margin-right: 10px"/>欠佳</label>
                                            </div>
                                            <div class="line_bottom"
                                                 style="margin:8px 0;clear:both;width:82%;border-bottom:1px solid transparent;"></div>
                                            <div class="line_bottom"
                                                 style="margin:8px 0;clear:both;width:82%;border-bottom:1px solid rgb(229,231,231);"></div>

                                            <div class="xgb-foods-type" data-name="sleep">
                                                <span>睡眠</span>
                                                <label style="margin-right:20px;"><input name="sleep" type="radio"
                                                                                         value="1" checked
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>佳</label>
                                                <label style="margin-right:20px;"><input name="sleep" type="radio"
                                                                                         value="2"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>尚可</label>
                                                <label><input name="sleep" type="radio" value="3"
                                                              style="vertical-align: text-top;margin-right: 10px"/>欠佳</label>
                                            </div>
                                            <div class="line_bottom"
                                                 style="margin:8px 0;clear:both;width:82%;border-bottom:1px solid transparent;"></div>
                                            <div class="line_bottom"
                                                 style="margin:8px 0;clear:both;width:82%;border-bottom:1px solid rgb(229,231,231);"></div>

                                            <div class="xgb-foods-type" data-name="spirit">
                                                <span>精神</span>
                                                <label style="margin-right:20px;"><input name="spirit" type="radio"
                                                                                         value="1" checked
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>佳</label>
                                                <label style="margin-right:20px;"><input name="spirit" type="radio"
                                                                                         value="2"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>尚可</label>
                                                <label><input name="spirit" type="radio" value="3"
                                                              style="vertical-align: text-top;margin-right: 10px"/>欠佳</label>
                                            </div>
                                            <div class="line_bottom"
                                                 style="margin:8px 0;clear:both;width:82%;border-bottom:1px solid transparent;"></div>
                                            <div class="line_bottom"
                                                 style="margin:8px 0;clear:both;width:82%;border-bottom:1px solid rgb(229,231,231);"></div>

                                            <div class="xgb-foods-type" data-name="emotion">
                                                <span>情绪</span>
                                                <label style="margin-right:20px;"><input name="mood" type="radio"
                                                                                         value="1" checked
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>佳</label>
                                                <label style="margin-right:20px;"><input name="mood" type="radio"
                                                                                         value="2"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>尚可</label>
                                                <label><input name="mood" type="radio" value="3"
                                                              style="vertical-align: text-top;margin-right: 10px"/>欠佳</label>

                                            </div>
                                        </div>

                                        <div class="margin-top-15"
                                             style="float:left; width:65%; padding:20px 0 20px 20px;">
                                            <div class="xgb-foods-type shitNew" data-name="shit" data-type="obj"
                                                 style="width: 100%;">
                                                <span style="padding-right:20px">大便</span>
                                                <label style="margin-right:20px;"><input name="value" type="radio"
                                                                                         data-name="value" class="value"
                                                                                         value="1" checked
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>正常</label>
                                                <label style="margin-right:20px;"><input name="value" type="radio"
                                                                                         data-name="value" class="value"
                                                                                         value="2"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>便秘</label>
                                                <label style="margin-right:20px;"><input name="value" type="radio"
                                                                                         data-name="value" class="value"
                                                                                         value="3"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>腹泻</label>
                                                <label style="margin-right:20px;"><input name="value" type="radio"
                                                                                         data-name="value" class="value"
                                                                                         value="6"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>腹泻与便秘</label>
                                                <label style="margin-right:20px;"><input name="value" type="radio"
                                                                                         data-name="value" class="value"
                                                                                         value="4"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>偏干</label>
                                                <label style="margin-right:20px;"><input name="value" type="radio"
                                                                                         data-name="value" class="value"
                                                                                         value="5"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>偏稀</label>
                                                <br>
                                                <br>


                                                <div class="" data-name="shit" data-type="obj">
                                                    <span style="padding-right:20px;opacity:0;">大便</span>
                                                    <span style="width:10%;margin-left:0px;padding-right:10px;">频次</span>
                                                    <select class="form-control m-b urine-select urine-select1 but_Fonts frequency"
                                                            name="urine"
                                                            data-name="frequency" style="width:13%;">
                                                        <option value="">请选择</option>
                                                        <option value="1">0次</option>
                                                        <option value="2">1次</option>
                                                        <option value="3">1~2次</option>
                                                        <option value="4">2~3次</option>
                                                        <option value="5">3~5次</option>
                                                        <option value="6">5次以上</option>
                                                    </select>
                                                    <span style="width:10%;margin-left:20px;padding-right:10px;">自定义</span>
                                                    <input type="number" placeholder="请输入.." style="width:13%;"
                                                           data-name="customFrequency" class="customFrequency">
                                                    <span style="width:20px;padding-right: 0px;">次</span>
                                                    <span style="width:10%;margin-left:30px;padding-right:10px;">备注</span>
                                                    <input type="text" placeholder="请输入.." style="width:13%;"
                                                           data-name="remark" class="shitNewRemark remark">


                                                </div>


                                                {{--<select class="form-control m-b urine-select but_Fonts" name="urine"--}}
                                                {{--data-name="value">--}}
                                                {{--<option value="">请选择</option>--}}
                                                {{--<option value="1">正常</option>--}}
                                                {{--<option value="2">便秘</option>--}}
                                                {{--<option value="3">腹泻</option>--}}
                                                {{--<option value="4">偏干</option>--}}
                                                {{--<option value="5">偏稀</option>--}}
                                                {{--</select>--}}

                                            </div>
                                            <div class="line_bottom"
                                                 style="margin:8px 0;clear:both;width:95%;border-bottom:1px solid transparent;"></div>
                                            <div class="line_bottom"
                                                 style="margin:8px 0;clear:both;width:95%;border-bottom:1px solid rgb(229,231,231);"></div>


                                            <div class="xgb-foods-type" data-name="DysuriaYN" data-type="obj"
                                                 style="width: 100%;">
                                                <span style="padding-right:20px">排尿是否困难</span>
                                                <label style="margin-right:20px;"><input name="Dysuria" type="radio"
                                                                                         class="peeDif"
                                                                                         value="1"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>是</label>
                                                <label style="margin-right:20px;"><input name="Dysuria" type="radio"
                                                                                         class="peeDif"
                                                                                         value="0" checked
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>否</label>
                                                <br>
                                                <br>
                                                {{--<span style="opacity: 0; padding-right:20px">排尿是否困难</span>--}}
                                                <div class="xgb-foods-type" data-name="pee" data-type="obj"
                                                     style="width:30%;">
                                                    {{--<span>小便</span>--}}

                                                    <span style="width:10%;margin-left:0px;padding-right:10px;">小便</span>
                                                    <select class="form-control m-b urine-select but_Fonts" name="urine"
                                                            style="width:50%;"
                                                            data-name="frequency">
                                                        <option value="0">请选择</option>
                                                        <option value="3">正常</option>
                                                        <option value="1">次数偏多</option>
                                                        <option value="2">次数偏少</option>
                                                    </select>
                                                </div>

                                                <div class="xgb-foods-type" data-name="pee" data-type="obj"
                                                     style="width:32%;">
                                                    {{--<span>小便(夜)</span>--}}
                                                    <span style="width:10%;margin-left:20px;padding-right:10px;">夜尿</span>

                                                    <select class="form-control m-b urine-select but_Fonts" name="urine"
                                                            style="width:55%;"
                                                            data-name="value">
                                                        <option value="0">请选择</option>
                                                        <option value="1">0次</option>
                                                        <option value="2">1次</option>
                                                        <option value="3">1~2次</option>
                                                        <option value="4">2~3次</option>
                                                        <option value="5">3~5次</option>
                                                        <option value="6">5次以上</option>
                                                    </select>
                                                </div>

                                                <div class="xgb-foods-type" style="margin-top:0 ;width:32%"
                                                     data-name="pee"
                                                     data-type="obj">
                                                    <span style="padding-right: 10px;">&nbsp;&nbsp;备注</span>
                                                    <input data-name="remark" type="text" name="urineremark"
                                                           class="form-control shitremark but_Fonts" maxlength="50"
                                                           placeholder="请填写">
                                                </div>
                                                {{--&nbsp;&nbsp;&nbsp;&nbsp;<span style="padding-right: 10px;">备注</span>--}}
                                                {{--<input type="text" placeholder="请输入.." style="width:13%;">--}}
                                                {{--<select class="form-control m-b urine-select but_Fonts" name="urine"--}}
                                                {{--data-name="value">--}}
                                                {{--<option value="">请选择</option>--}}
                                                {{--<option value="1">正常</option>--}}
                                                {{--<option value="2">便秘</option>--}}
                                                {{--<option value="3">腹泻</option>--}}
                                                {{--<option value="4">偏干</option>--}}
                                                {{--<option value="5">偏稀</option>--}}
                                                {{--</select>--}}

                                            </div>

                                            <div class="line_bottom"
                                                 style="margin:8px 0;clear:both;width:95%;border-bottom:1px solid transparent;"></div>
                                            <div class="line_bottom"
                                                 style="margin:8px 0;clear:both;width:95%;border-bottom:1px solid rgb(229,231,231);"></div>

                                            {{--<div class="xgb-foods-type" data-name="shit" data-type="obj">--}}
                                            {{--<span>大便频次</span>--}}
                                            {{--<select class="form-control m-b urine-select urine-select1 but_Fonts"--}}
                                            {{--name="urine"--}}
                                            {{--data-name="frequency">--}}
                                            {{--<option value="">请选择</option>--}}
                                            {{--<option value="1">0次</option>--}}
                                            {{--<option value="2">1次</option>--}}
                                            {{--<option value="3">1~2次</option>--}}
                                            {{--<option value="4">2~3次</option>--}}
                                            {{--<option value="5">3~5次</option>--}}
                                            {{--<option value="6">5次以上</option>--}}
                                            {{--</select>--}}
                                            {{--</div>--}}
                                            {{--<div class="xgb-foods-type" style="float:left;" data-name="shit"--}}
                                            {{--data-type="obj">--}}
                                            {{--<span>&nbsp;&nbsp;备注</span>--}}
                                            {{--<input type="text" data-name="remark" name="shitremark"--}}
                                            {{--class="form-control shitremark but_Fonts" maxlength="50"--}}
                                            {{--placeholder="请填写大便备注">--}}
                                            {{--</div>--}}
                                            <div style="clear:both"></div>

                                            {{--<div class="xgb-foods-type" data-name="pee" data-type="obj">--}}
                                            {{--<span>小便</span>--}}
                                            {{--<select class="form-control m-b urine-select but_Fonts" name="urine"--}}
                                            {{--data-name="frequency">--}}
                                            {{--<option value="0">请选择</option>--}}
                                            {{--<option value="3">正常</option>--}}
                                            {{--<option value="1">次数偏多</option>--}}
                                            {{--<option value="2">次数偏少</option>--}}
                                            {{--</select>--}}
                                            {{--</div>--}}
                                            {{--<div class="xgb-foods-type" data-name="pee" data-type="obj">--}}
                                            {{--<span>小便(夜)</span>--}}

                                            {{--<select class="form-control m-b urine-select but_Fonts" name="urine"--}}
                                            {{--data-name="value">--}}
                                            {{--<option value="0">请选择</option>--}}
                                            {{--<option value="1">0次</option>--}}
                                            {{--<option value="2">1次</option>--}}
                                            {{--<option value="3">1~2次</option>--}}
                                            {{--<option value="4">2~3次</option>--}}
                                            {{--<option value="5">3~5次</option>--}}
                                            {{--<option value="6">5次以上</option>--}}
                                            {{--</select>--}}
                                            {{--</div>--}}
                                            {{--<div class="xgb-foods-type" style="float:left;margin-top:0" data-name="pee"--}}
                                            {{--data-type="obj">--}}
                                            {{--<span>&nbsp;&nbsp;备注</span>--}}
                                            {{--<input data-name="remark" type="text" name="urineremark"--}}
                                            {{--class="form-control shitremark but_Fonts" maxlength="50"--}}
                                            {{--placeholder="请填写小便(夜)备注">--}}
                                            {{--</div>--}}


                                            <div class="xgb-foods-type" data-name="sweat" data-type="obj" class="sweat"
                                                 style="width: 100%;">
                                                <span style="padding-right:20px">出汗情况</span>
                                                <label style="margin-right:15px;"><input name="Sweat" type="radio"
                                                                                         class="sweatInput"
                                                                                         value="1" checked
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>易出汗</label>
                                                <label style="margin-right:15px;"><input name="Sweat" type="radio"
                                                                                         class="sweatInput"
                                                                                         value="2"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>不易出汗</label>
                                                <label style="margin-right:15px;"><input name="Sweat" type="radio"
                                                                                         class="sweatInput"
                                                                                         value="3"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>无汗</label>
                                                <label style="margin-right:15px;"><input name="Sweat" type="radio"
                                                                                         class="sweatInput"
                                                                                         value="4"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>汗多</label>
                                                <label style="margin-right:15px;"><input name="Sweat" type="radio"
                                                                                         class="sweatInput"
                                                                                         value="5"
                                                                                         style="vertical-align: text-top;margin-right: 10px"/>汗少</label>
                                                <label style="margin-right:0px;"><input name="Sweat" type="radio"
                                                                                        class="sweatInput"
                                                                                        value="6"
                                                                                        style="vertical-align: text-top;margin-right: 10px"/>偏身出汗</label>

                                                <br>

                                                <span style="opacity: 0;padding-right:20px;">出汗情况</span>
                                                <br>
                                                <span>备注</span>
                                                <input type="text" class="sweatRemark" placeholder="请输入.."
                                                       style="width:85%;">
                                                {{--<select class="form-control m-b urine-select but_Fonts" name="urine"--}}
                                                {{--data-name="value">--}}
                                                {{--<option value="">请选择</option>--}}
                                                {{--<option value="1">正常</option>--}}
                                                {{--<option value="2">便秘</option>--}}
                                                {{--<option value="3">腹泻</option>--}}
                                                {{--<option value="4">偏干</option>--}}
                                                {{--<option value="5">偏稀</option>--}}
                                                {{--</select>--}}

                                            </div>

                                        </div>
                                    </td>
                                </tr>


                                </tbody>
                            </table>
                        </div>


                    </div>

                    {{--<div class="row margin-top-15">--}}
                    {{--<div class="col-xs-12 xbs-separated">--}}
                    {{--<span>监测血糖</span>--}}
                    {{--</div>--}}
                    {{--</div>--}}
                    {{--<div class="row margin-top-15">--}}
                    {{--<div class="col-xs-12">--}}
                    {{--<button type="button" class="btn btn-outline btn-primary btn-lg" id="monitoringBlood">监测血糖--}}
                    {{--</button>--}}
                    {{--</div>--}}
                    {{--</div>--}}




                    @if(!\Auth::user()->hospital->isCn())
                        <div id="thyroidParent" style="display: none">
                            <div id="thyroid" class="ibox float-e-margins">
                                <div class="row xbs-separated first-xbs-separated">
                                    <div class="col-xs-6">
                                        <span>甲状腺情况</span>
                                        {{--<a class="collapse-link">--}}
                                        {{--<i class="fa fa-chevron-up"></i>--}}
                                        {{--</a>--}}
                                    </div>
                                </div>
                                <div data-name="hpiSub" class="ibox-content">
                                    <div class="row margin-top-15 input-box-one">
                                        <div class="col-xs-3 updataBox" data-name="started_at">
                                            <span class="input-title"><i class="mandatory"></i>起病日期</span>
                                            <input type="text" name="thyroid[started_at]"
                                                   class="form-control input-content maxMonth thyroidStarted_at"
                                                   data-toggle="datepicker"
                                                   placeholder="请输入起病日期">
                                        </div>
                                        <div class="col-xs-3 updataBox" data-name="inducement">
                                            <span class="input-title-position" style="display:inline">诱因</span>
                                            <select class="thyroidInducement form-control m-b input-content margin-bottom-0"
                                                    name="thyroid[inducement]">
                                                <option value="1">无明显诱因</option>
                                                <option value="2">情绪波动</option>
                                                <option value="3">工作压力大</option>
                                                <option value="4">其他</option>
                                            </select>
                                        </div>
                                        {{--<div class="col-xs-3 updataBox" data-name="clinic_site">--}}
                                        {{--<span class="input-title">就诊地点</span>--}}
                                        {{--<input type="text" placeholder="20个字以内" name="xbs_causeremark"--}}
                                        {{--class="form-control input-content" maxlength="20">--}}
                                        {{--</div>--}}
                                    </div>
                                    <div class="row margin-top-15 input-box-one">
                                        <div class="col-xs-3">
                                            <span class="input-title-position"><i class="mandatory"></i>起病症状</span>
                                            <button type="button"
                                                    class="thyHB1 btn btn-primary btn-outline add-symptom but_Fonts"
                                                    data-toggle="modal" data-target="#addSymptom" data-id="thyHB1">
                                                添加主要症状
                                            </button>
                                        </div>
                                        <div class="col-xs-9  symptomList">
                                            <h3>主要症状：</h3>
                                            <ul class="sui-tag thyroid"></ul>
                                            <div class="thyroidDesPar" data-name="thyroidDes" data-type="obj">
                                                <span>备注:</span>
                                                <input type="text" data-name="remark" name="thyroid[symptoms_remark]"
                                                       class="thyroid_symptoms_remark form-control thyroidDesremark"
                                                       maxlength="50"
                                                       placeholder="请填写症状的备注">
                                            </div>
                                        </div>
                                    </div>


                                </div>
                                <input type="hidden" class="xbsGroupId">
                            </div>
                            <div id="thyroid1" class="ibox float-e-margins">
                                <div class="row input-box-one">
                                    <div class="col-xs-3">
                                        <span class="input-title-position"><i class="mandatory"></i>化验检查</span>
                                        <button type="button"
                                                class="thyHB2 btn btn-primary btn-outline add-symptom but_Fonts"
                                                data-toggle="modal" data-target="#addSymptom" data-id="thyHB2">
                                            添加化验检查
                                        </button>
                                    </div>
                                    <div class="col-xs-9  symptomList">
                                        <h3>化验检查：</h3>
                                        <ul class="sui-tag thyroid1"></ul>
                                        <div class="thyroidDesPar" data-name="thyroidDes" data-type="obj">
                                            <span>备注:</span>
                                            <input type="text" data-name="remark" name="thyroid[examination_remark]"
                                                   class="examination_remark form-control thyroidDesremark"
                                                   maxlength="50"
                                                   placeholder="请填写检查备注">
                                        </div>
                                    </div>
                                </div>
                                <input type="hidden" class="xbsGroupId">
                            </div>
                            <div id="thyroid2" class="ibox float-e-margins">
                                <div class="row input-box-one">
                                    <div class="col-xs-3">
                                        <span class="input-title-position"><i class="mandatory"></i>甲亢相关症状</span>
                                        <button type="button"
                                                class="thyHB3 btn btn-primary btn-outline add-symptom but_Fonts"
                                                data-toggle="modal" data-target="#addSymptom" data-id="thyHB3">
                                            添加甲亢相关症状
                                        </button>
                                    </div>
                                    <div class="col-xs-9  symptomList">
                                        <h3>相关症状：</h3>
                                        <ul class="sui-tag thyroid2"></ul>
                                        <div class="thyroidDesPar" data-name="thyroidDes" data-type="obj">
                                            <span>备注:</span>
                                            <input type="text" data-name="remark" name="thyroid[hyperthyroidism_remark]"
                                                   class="hyperthyroidism_remark form-control thyroidDesremark"
                                                   maxlength="50"
                                                   placeholder="请填写检查备注">
                                        </div>
                                    </div>
                                </div>
                                <input type="hidden" class="xbsGroupId">
                            </div>
                        </div>

                        <div id="adrenal_glandParent" style="display:none">
                            <div id="highBlood" class="ibox float-e-margins">
                                <div class="row xbs-separated first-xbs-separated">
                                    <div class="col-xs-6">
                                        <span>高血压肾上腺疾病</span>
                                        {{--<a class="collapse-link">--}}
                                        {{--<i class="fa fa-chevron-up"></i>--}}
                                        {{--</a>--}}
                                    </div>
                                </div>
                                <div data-name="hpiSub" class="ibox-content">
                                    <div class="row margin-top-15 input-box-one">
                                        <div class="col-xs-3 updataBox" data-name="started_at">
                                            <span class="input-title"><i class="mandatory"></i>起病日期</span>
                                            <input type="text" name="adrenal_gland[started_at]"
                                                   class="started_at form-control input-content maxMonth"
                                                   data-toggle="datepicker"
                                                   placeholder="请输入起病日期">
                                        </div>
                                    </div>
                                    <div class="row margin-top-15 input-box-one">
                                        <div class="col-xs-3">
                                            <span class="input-title-position"><i class="mandatory"></i>起病症状</span>
                                            <button type="button"
                                                    class="thyHB4 btn btn-primary btn-outline add-symptom but_Fonts"
                                                    data-toggle="modal" data-target="#addSymptom" data-id="thyHB4">
                                                添加主要症状
                                            </button>
                                        </div>
                                        <div class="col-xs-9  symptomList">
                                            <h3>主要症状：</h3>
                                            <ul class="sui-tag highBlood"></ul>
                                            <div class="thyroidDesPar" data-name="thyroidDes" data-type="obj">
                                                <span>备注:</span>
                                                <input type="text" data-name="remark"
                                                       name="adrenal_gland[symptoms_remark]"
                                                       class="form-control thyroidDesremark symptoms_remark"
                                                       maxlength="50"
                                                       placeholder="请填写症状的备注">
                                            </div>
                                        </div>
                                    </div>


                                </div>
                                <input type="hidden" class="xbsGroupId">
                            </div>
                            <div id="highBlood1" class="ibox float-e-margins">
                                <div class="row input-box-one">
                                    <div class="col-xs-3">
                                        <span class="input-title-position"><i class="mandatory"></i>伴随症状</span>
                                        <button type="button"
                                                class="thyHB5 btn btn-primary btn-outline add-symptom but_Fonts"
                                                data-toggle="modal" data-target="#addSymptom" data-id="thyHB5">
                                            添加症状
                                        </button>
                                    </div>
                                    <div class="col-xs-9  symptomList">
                                        <h3>化验检查：</h3>
                                        <ul class="sui-tag highBlood1"></ul>
                                        <div class="thyroidDesPar" data-name="thyroidDes" data-type="obj">
                                            <span>备注:</span>
                                            <input type="text" data-name="remark"
                                                   name="adrenal_gland[accompanied_symptom_remark]"
                                                   class="accompanied_symptom_remark form-control thyroidDesremark"
                                                   maxlength="50"
                                                   placeholder="请填写检查备注">
                                        </div>
                                    </div>
                                </div>
                                <input type="hidden" class="xbsGroupId">
                            </div>
                        </div>
                @endif




                <!--备注-->
                    <div class="row margin-top-15">
                        <div class="col-xs-12 xbs-separated">
                            <span>备注信息</span>
                        </div>
                    </div>
                    <div class="row margin-top-20">
                        <div class="col-xs-12 weight-change">
                            {{--<span class="weight-title">备注信息</span>--}}
                            <textarea name="remark" rows="10" maxlength="255" placeholder="请填写备注信息"
                                      id="xbsRemark"></textarea>
                        </div>
                    </div>
                    <!--保存按钮-->
                    <div class="row margin-top-20">
                        <div class="col-xs-6 text-right">
                            <button type="button" class="btn btn-outline btn-primary btn-lg" id="xbsSave">保存</button>
                        </div>
                        <div class="col-xs-6">
                            <button type="button" class="btn btn-outline btn-primary btn-lg" id="xbsSaveNext">保存并下一步
                            </button>
                        </div>
                    </div>
                    <input type="hidden" class="xbsId">
                </div>
                <!--既往史-->
                <div class="tab-pane" id="jiwangshi">
                    @if(!$scene->isWestern())
                        @include('manage.pastHistory.chinese')
                    @else
                        @include('manage.pastHistory.western')
                    @endif

                </div>
                <!--个人史-->
                <div class="tab-pane" id="gerenshi">
                    <form>
                        <div class="row padding-tb-10 personal-border-bottom">
                            <div class="col-xs-1 line-height-30">
                                <label>
                                    <span><i></i>吸烟时间</span>
                                </label>
                            </div>
                            <div class="col-xs-2 personal-input">
                                <input type="text" class="form-control grs-check-input maxMonth grsDateInput but_Fonts"
                                       data-id="smokeTime" name="smoke[time]" data-toggle="datepicker">
                            </div>

                            <div class="col-xs-2 personal-input width-040 display-none" id="smokeTime">
                                <i class="but_Fonts">每日吸烟</i><input type="number"
                                                                    class="form-control many positiveInteger"
                                                                    name="smoke[many]"><i class="but_Fonts">支</i>
                            </div>

                            <div class="col-xs-offset-1 col-xs-1 line-height-30 personal-border-left">
                                <label>
                                    <span>戒烟时间</span>
                                </label>
                            </div>
                            <div class="col-xs-2 personal-input">
                                <input type="text"
                                       class="form-control grs-check-input maxMonth grs_quitsmokeyear but_Fonts"
                                       name="stop_smoke" data-toggle="datepicker">
                            </div>
                        </div>

                        <div class="row padding-tb-10 personal-border-bottom" style="margin-top:20px">
                            <div class="col-xs-1 line-height-30">
                                <label>
                                    <span>饮酒时间</span>
                                </label>
                            </div>
                            <div class="col-xs-2 personal-input">
                                <input type="text" class="form-control grs-check-input maxMonth grsDateInput but_Fonts"
                                       data-id="drinkTime" name="drink[time]" data-toggle="datepicker">
                            </div>
                            <div class="col-xs-4 display-none" id="drinkTime">
                                <div class="row">
                                    <div class="col-xs-6">
                                        <label class="but_Fonts"><input type="radio" name="drink[frequency]" value="1"
                                                                        checked>每日饮酒</label>
                                    </div>
                                    <div class="col-xs-6">
                                        <label class="but_Fonts"><input type="radio" name="drink[frequency]" value="2">偶尔饮酒</label>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-xs-12 personal-input width-040 " style="margin-top:20px;">
                                        <i class="but_Fonts">白酒</i><input type="number"
                                                                          class="form-control whiteSpirit spititMl"
                                                                          name="drink[whiteSpirit]"><i
                                                class="but_Fonts">mL</i>
                                        <i class="but_Fonts">或</i><input type="number"
                                                                         class="form-control whiteSpirit spititMl"
                                                                         name="drink[whiteSpirit]"><i
                                                class="but_Fonts">两</i>
                                    </div>
                                    <div class="col-xs-12 personal-input width-040 margin-top-5">
                                        <i class="but_Fonts">红酒</i><input type="number"
                                                                          class="form-control redSpirit spititMl"
                                                                          name="drink[redSpirit]"><i class="but_Fonts">mL</i>
                                        <i class="but_Fonts">或</i><input type="number"
                                                                         class="form-control redSpirit spititMl"
                                                                         name="drink[redSpirit]"><i
                                                class="but_Fonts">两</i>
                                    </div>
                                    <div class="col-xs-12 personal-input width-040 margin-top-5">
                                        <i class="but_Fonts">啤酒</i><input type="number"
                                                                          class="form-control beer spititMl"
                                                                          name="drink[beer]"><i class="but_Fonts">mL</i>
                                        <i class="but_Fonts">或</i><input type="number"
                                                                         class="form-control beer spititMl"
                                                                         name="drink[beer]"><i
                                                class="but_Fonts">瓶</i>
                                    </div>
                                </div>
                            </div>
                            <div class="col-xs-offset-1 col-xs-1 line-height-30 personal-border-left">
                                <label>
                                    <span>戒酒时间</span>
                                </label>
                            </div>
                            <div class="col-xs-2 personal-input">
                                <input type="text" class="form-control maxMonth" name="stop_drink"
                                       data-toggle="datepicker">
                            </div>
                        </div>

                        <div class="row margin-top-15" style="">
                            <div class="col-xs-12 xbs-separated">
                                <span>备注信息</span>
                            </div>
                        </div>
                        <div class="row margin-top-15">
                            <div class="col-xs-12 weight-change">
                                {{--<span class="weight-title">备注信息</span>--}}
                                <textarea name="remark" rows="10" maxlength="255" placeholder="请填写备注信息"></textarea>
                            </div>
                        </div>
                        <div class="row margin-top-20">
                            <div class="col-xs-6 text-right">
                                <button type="button" class="btn btn-outline btn-primary btn-lg" id="grsSave">保存
                                </button>
                            </div>
                            <div class="col-xs-6">
                                <button type="button" class="btn btn-outline btn-primary btn-lg" id="grsSaveNext">
                                    保存并下一步
                                </button>
                            </div>
                        </div>
                    </form>
                    <input type="hidden" class="gerId">
                </div>
                <!--婚育史-->
                <div class="tab-pane" id="hunyushi">
                    <form class="hysForm">
                        <div class="row">
                            <div class="col-xs-12">
                                <table class="table-bordered text-center yjhys-table">
                                    <tbody>
                                    <tr>
                                        <td class="yjhys-table-name bg-default">已婚</td>
                                        <td>
                                            <div>
                                                <span class="input-title">结婚时间</span>
                                                <div class="input-content">
                                                    <input type="text" placeholder="请填写..." name="marriage[time]"
                                                           class="form-control input-content-left maxMonth but_Fonts"
                                                           data-toggle="datepicker">
                                                    <span class="input-content-right"></span>
                                                </div>
                                            </div>
                                            <div class="margin-top-10">
                                                <span class="input-title">育</span>
                                                <div class="input-content">
                                                    <input type="number" placeholder="请填写..." name="marriage[son]"
                                                           class="form-control input-content-left childrenNum numberMask ageInput but_Fonts">
                                                    <span class="childrenType">子</span>
                                                    <input type="number" placeholder="请填写..." name="marriage[daughter]"
                                                           class="form-control input-content-left childrenNum numberMask ageInput but_Fonts">
                                                    <span class="childrenType">女</span>
                                                </div>
                                            </div>
                                        </td>
                                        <td class="manHide yjhys-table-name bg-default">是否生产巨大儿</td>
                                        <td class="manHide macrosomia">
                                            <label><input type="radio" checked name="macrosomia" value="0">否</label>
                                            <label><input type="radio" name="macrosomia" value="1">是</label>
                                        </td>
                                    </tr>
                                    <tr class="manHide">
                                        <td class="yjhys-table-name bg-default">月经初潮时间</td>
                                        <td>
                                            <div>
                                                <span class="input-title">月经初潮年龄</span>
                                                <div class="input-content text-left">
                                                    <input type="text" placeholder="请填写...（单位：岁）"
                                                           name="menstruation[menarche]"
                                                           class="form-control input-content-left numberMask ageInput but_Fonts">
                                                </div>
                                            </div>
                                            <div class="margin-top-10">
                                                <span class="input-title">经期</span>
                                                <div class="input-content text-left">
                                                    <input type="number" placeholder="请填写..."
                                                           name="menstruation[period][days]"
                                                           class="form-control input-content-left childrenNum numberMask positiveInteger but_Fonts">
                                                    <span class="childrenType">天</span>
                                                    <select class="form-control but_Fonts"
                                                            name="menstruation[period][law]">
                                                        <option value="0">规律</option>
                                                        <option value="1">不规律</option>
                                                    </select>
                                                </div>
                                            </div>
                                            <div class="margin-top-10">
                                                <span class="input-title">周期</span>
                                                <div class="input-content text-left">

                                                    <input type="number" placeholder="请填写..."
                                                           name="menstruation[cycle][days]"
                                                           class="form-control input-content-left childrenNum numberMask positiveInteger but_Fonts">
                                                    <span class="childrenType">天</span>
                                                    <select class="form-control but_Fonts"
                                                            name="menstruation[cycle][law]">
                                                        <option value="0">规律</option>
                                                        <option value="1">不规律</option>
                                                    </select>
                                                </div>
                                            </div>
                                            <div class="margin-top-10">
                                                <span class="input-title">月经量</span>
                                                <div class="input-content text-left">
                                                    <select class="form-control input-content-left but_Fonts"
                                                            name="menstruation[menstrual_volume]">
                                                        <option value="0">少</option>
                                                        <option value="1">一般</option>
                                                        <option value="2">较多</option>
                                                        <option value="3">多</option>
                                                    </select>
                                                </div>
                                            </div>
                                            <div class="margin-top-10">
                                                <span class="input-title">末次月经</span>

                                                <div class="input-content text-left">
                                                    <span class="input-title" style="width:20%">开始时间</span>
                                                    <input type="text" placeholder="请填写..."
                                                           name="menstruation[last_time][date]"
                                                           class="form-control input-content-left datepicker but_Fonts"
                                                           data-toggle="datepicker" style="width:35%;margin-right:4%">

                                                    <span class="input-title" style="width:5%">共</span>
                                                    <input type="number" placeholder="请填写..."
                                                           name="menstruation[last_time][continue]"
                                                           class="form-control input-content-left menstruationContinue but_Fonts"
                                                           style="width:20%">
                                                    <span class="input-title" style="width:5%">天</span>
                                                </div>

                                            </div>

                                        </td>
                                        <td class="yjhys-table-name bg-default">已绝经</td>
                                        <td>
                                            <span class="input-title">停经年龄</span>
                                            <div class="input-content">
                                                <input type="number" placeholder="请填写..." name="menopause[age]"
                                                       class="form-control input-content-left numberMask ageInput">
                                                <span class="input-content-right">岁</span>
                                            </div>
                                        </td>
                                    </tr>
                                    </tbody>
                                </table>
                            </div>
                        </div>
                        <!--备注信息-->
                        <div class="row margin-top-15" style="">
                            <div class="col-xs-12 xbs-separated">
                                <span>备注信息</span>
                            </div>
                        </div>
                        <div class="row">
                            <div class="col-xs-12 weight-change margin-top-20">
                                {{--<span class="weight-title">备注信息</span>--}}
                                <textarea placeholder="请填写备注信息" name="remark" rows="10" maxlength="255"></textarea>
                            </div>
                        </div>
                        <!--保存按钮-->
                        <div class="row margin-top-20">
                            <div class="col-xs-6 text-right">
                                <button type="button" class="btn btn-outline btn-primary btn-lg" id="hysSave">保存
                                </button>
                            </div>
                            <div class="col-xs-6">
                                <button type="button" class="btn btn-outline btn-primary btn-lg" id="hysSaveNext">
                                    保存并下一步
                                </button>
                            </div>
                        </div>
                    </form>
                    <input type="hidden" class="hysId">
                </div>
                <!--家族史-->
                <div class="tab-pane" id="jiazushi">
                    <form action="" class="jzs-form">
                        <div class="row margin-top-15">
                            <div class="col-xs-12">
                                <table class="table-bordered table-striped table-hover text-center jzsCase-table">
                                    <tbody id="jzs_list">
                                    <tr class="familyHistory">
                                        <td class="jzsTabel-title">家族史名称</td>
                                        <td colspan="3" class="jzsCase-name">
                                            <label><input type="checkbox" name="diabetes" class="jzsCase-btn"
                                                          data-id="diabetes" data-name="(亲属)患糖尿病"> (亲属)患糖尿病</label>
                                        </td>
                                    </tr>
                                    <tr id="diabetes" class="display-none">
                                        <td class="jzsTabel-title">直系亲属</td>
                                        <td>
                                            <label><input type="checkbox" data-type="lineal" name="father"
                                                          data-parent="diabetes"/> 父</label>
                                            <label><input type="checkbox" data-type="lineal" name="mother"
                                                          data-parent="diabetes"/> 母</label>
                                            <label><input type="checkbox" data-type="lineal" name="brother"
                                                          data-parent="diabetes"/> 兄弟</label>
                                            <label><input type="checkbox" data-type="lineal" name="sister"
                                                          data-parent="diabetes"/> 姐妹</label>
                                            <label><input type="checkbox" data-type="lineal" name="children"
                                                          data-parent="diabetes"/> 子女</label>
                                        </td>
                                        <td class="jzsTabel-title">非直系亲属</td>
                                        <td>
                                            <label><input type="checkbox" data-type="notLineal" name="grandfather"
                                                          data-parent="diabetes"/> 爷爷</label>
                                            <label><input type="checkbox" data-type="notLineal" name="grandmother"
                                                          data-parent="diabetes"/> 奶奶</label>
                                            <label><input type="checkbox" data-type="notLineal" name="grandma"
                                                          data-parent="diabetes"/> 姥姥</label>
                                            <label><input type="checkbox" data-type="notLineal" name="grandpa"
                                                          data-parent="diabetes"/> 姥爷</label>
                                            <label><input type="checkbox" data-type="notLineal" name="uncle"
                                                          data-parent="diabetes"/> 叔叔</label>
                                            <label><input type="checkbox" data-type="notLineal" name="aunt"
                                                          data-parent="diabetes"/> 姑姑</label>
                                            <label><input type="checkbox" data-type="notLineal" name="wifeSister"
                                                          data-parent="diabetes"/> 姨</label>
                                            <label><input type="checkbox" data-type="notLineal" name="motherBrother"
                                                          data-parent="diabetes"/> 舅舅</label>
                                            <label><input type="checkbox" data-type="notLineal" name="other"
                                                          data-parent="diabetes"/> 其他亲属</label>
                                        </td>
                                    </tr>

                                    <tr class="familyHistory">
                                        <td class="jzsTabel-title">家族史名称</td>
                                        <td colspan="3" class="jzsCase-name">
                                            <label><input type="checkbox" name="chd" class="jzsCase-btn" data-id="chd"
                                                          data-name="(亲属)患冠心病"> (亲属)患冠心病</label>
                                        </td>
                                    </tr>
                                    <tr id="chd" class="display-none">
                                        <td class="jzsTabel-title">直系亲属</td>
                                        <td>
                                            <label><input type="checkbox" data-type="lineal" name="father"
                                                          data-parent="chd"/> 父</label>
                                            <label><input type="checkbox" data-type="lineal" name="mother"
                                                          data-parent="chd"/> 母</label>
                                            <label><input type="checkbox" data-type="lineal" name="brother"
                                                          data-parent="chd"/> 兄弟</label>
                                            <label><input type="checkbox" data-type="lineal" name="sister"
                                                          data-parent="chd"/> 姐妹</label>
                                            <label><input type="checkbox" data-type="lineal" name="children"
                                                          data-parent="chd"/> 子女</label>
                                        </td>
                                        <td class="jzsTabel-title">非直系亲属</td>
                                        <td>
                                            <label><input type="checkbox" data-type="notLineal" name="grandfather"
                                                          data-parent="chd"/> 爷爷</label>
                                            <label><input type="checkbox" data-type="notLineal" name="grandmother"
                                                          data-parent="chd"/> 奶奶</label>
                                            <label><input type="checkbox" data-type="notLineal" name="grandma"
                                                          data-parent="chd"/> 姥姥</label>
                                            <label><input type="checkbox" data-type="notLineal" name="grandpa"
                                                          data-parent="chd"/> 姥爷</label>
                                            <label><input type="checkbox" data-type="notLineal" name="uncle"
                                                          data-parent="chd"/> 叔叔</label>
                                            <label><input type="checkbox" data-type="notLineal" name="aunt"
                                                          data-parent="chd"/> 姑姑</label>
                                            <label><input type="checkbox" data-type="notLineal" name="wifeSister"
                                                          data-parent="chd"/> 姨</label>
                                            <label><input type="checkbox" data-type="notLineal" name="motherBrother"
                                                          data-parent="chd"/> 舅舅</label>
                                            <label><input type="checkbox" data-type="notLineal" name="other"
                                                          data-parent="chd"/> 其他亲属</label>
                                        </td>
                                    </tr>

                                    <tr class="familyHistory">
                                        <td class="jzsTabel-title">家族史名称</td>
                                        <td colspan="3" class="jzsCase-name">
                                            <label><input type="checkbox" name="embolism" class="jzsCase-btn"
                                                          data-id="embolism" data-name="(亲属)患脑梗"> (亲属)患脑梗</label>
                                        </td>
                                    </tr>
                                    <tr id="embolism" class="display-none">
                                        <td class="jzsTabel-title">直系亲属</td>
                                        <td>
                                            <label><input type="checkbox" data-type="lineal" data-parent="embolism"
                                                          name="father"/> 父</label>
                                            <label><input type="checkbox" data-type="lineal" data-parent="embolism"
                                                          name="mother"/> 母</label>
                                            <label><input type="checkbox" data-type="lineal" data-parent="embolism"
                                                          name="brother"/> 兄弟</label>
                                            <label><input type="checkbox" data-type="lineal" data-parent="embolism"
                                                          name="sister"/> 姐妹</label>
                                            <label><input type="checkbox" data-type="lineal" data-parent="embolism"
                                                          name="children"/> 子女</label>
                                        </td>
                                        <td class="jzsTabel-title">非直系亲属</td>
                                        <td>
                                            <label><input type="checkbox" data-type="notLineal" data-parent="embolism"
                                                          name="grandfather"/> 爷爷</label>
                                            <label><input type="checkbox" data-type="notLineal" data-parent="embolism"
                                                          name="grandmother"/> 奶奶</label>
                                            <label><input type="checkbox" data-type="notLineal" data-parent="embolism"
                                                          name="grandma"/> 姥姥</label>
                                            <label><input type="checkbox" data-type="notLineal" data-parent="embolism"
                                                          name="grandpa"/> 姥爷</label>
                                            <label><input type="checkbox" data-type="notLineal" data-parent="embolism"
                                                          name="uncle"/> 叔叔</label>
                                            <label><input type="checkbox" data-type="notLineal" data-parent="embolism"
                                                          name="aunt"/> 姑姑</label>
                                            <label><input type="checkbox" data-type="notLineal" data-parent="embolism"
                                                          name="wifeSister"/> 姨</label>
                                            <label><input type="checkbox" data-type="notLineal" data-parent="embolism"
                                                          name="motherBrother"/> 舅舅</label>
                                            <label><input type="checkbox" data-type="notLineal" data-parent="embolism"
                                                          name="other"/> 其他亲属</label>
                                        </td>
                                    </tr>

                                    <tr class="familyHistory">
                                        <td class="jzsTabel-title">家族史名称</td>
                                        <td colspan="3" class="jzsCase-name">
                                            <label><input type="checkbox" name="hyperlipidemia" class="jzsCase-btn"
                                                          data-id="hyperlipidemia" data-name="(亲属)患高血脂">
                                                (亲属)患高血脂</label>
                                        </td>
                                    </tr>
                                    <tr id="hyperlipidemia" class="display-none">
                                        <td class="jzsTabel-title">直系亲属</td>
                                        <td>
                                            <label><input type="checkbox" data-type="lineal"
                                                          data-parent="hyperlipidemia" name="father"/> 父</label>
                                            <label><input type="checkbox" data-type="lineal"
                                                          data-parent="hyperlipidemia" name="mother"/> 母</label>
                                            <label><input type="checkbox" data-type="lineal"
                                                          data-parent="hyperlipidemia" name="brother"/> 兄弟</label>
                                            <label><input type="checkbox" data-type="lineal"
                                                          data-parent="hyperlipidemia" name="sister"/> 姐妹</label>
                                            <label><input type="checkbox" data-type="lineal"
                                                          data-parent="hyperlipidemia" name="children"/> 子女</label>
                                        </td>
                                        <td class="jzsTabel-title">非直系亲属</td>
                                        <td>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hyperlipidemia" name="grandfather"/> 爷爷</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hyperlipidemia" name="grandmother"/> 奶奶</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hyperlipidemia" name="grandma"/> 姥姥</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hyperlipidemia" name="grandpa"/> 姥爷</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hyperlipidemia" name="uncle"/> 叔叔</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hyperlipidemia" name="aunt"/> 姑姑</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hyperlipidemia" name="wifeSister"/> 姨</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hyperlipidemia" name="motherBrother"/> 舅舅</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hyperlipidemia" name="other"/> 其他亲属</label>
                                        </td>
                                    </tr>

                                    <tr class="familyHistory">
                                        <td class="jzsTabel-title">家族史名称</td>
                                        <td colspan="3" class="jzsCase-name">
                                            <label><input type="checkbox" name="hypertension" class="jzsCase-btn"
                                                          data-id="hypertension" data-name="(亲属)患高血压"> (亲属)患高血压</label>
                                        </td>
                                    </tr>
                                    <tr id="hypertension" class="display-none">
                                        <td class="jzsTabel-title">直系亲属</td>
                                        <td>
                                            <label><input type="checkbox" data-type="lineal" data-parent="hypertension"
                                                          name="father"/> 父</label>
                                            <label><input type="checkbox" data-type="lineal" data-parent="hypertension"
                                                          name="mother"/> 母</label>
                                            <label><input type="checkbox" data-type="lineal" data-parent="hypertension"
                                                          name="brother"/> 兄弟</label>
                                            <label><input type="checkbox" data-type="lineal" data-parent="hypertension"
                                                          name="sister"/> 姐妹</label>
                                            <label><input type="checkbox" data-type="lineal" data-parent="hypertension"
                                                          name="children"/> 子女</label>
                                        </td>
                                        <td class="jzsTabel-title">非直系亲属</td>
                                        <td>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hypertension" name="grandfather"/> 爷爷</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hypertension" name="grandmother"/> 奶奶</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hypertension" name="grandma"/> 姥姥</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hypertension" name="grandpa"/> 姥爷</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hypertension" name="uncle"/> 叔叔</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hypertension" name="aunt"/> 姑姑</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hypertension" name="wifeSister"/> 姨</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hypertension" name="motherBrother"/> 舅舅</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="hypertension" name="other"/> 其他亲属</label>
                                        </td>
                                    </tr>
                                    {{--添加肿瘤家族史 ⬇️--}}
                                    <tr class="familyHistory">
                                        <td class="jzsTabel-title">家族史名称</td>
                                        <td colspan="3" class="jzsCase-name">
                                            <label><input type="checkbox" name="tumor" class="jzsCase-btn"
                                                          data-id="tumor" data-name="(亲属)肿瘤家族史"> (亲属)肿瘤家族史</label>
                                        </td>
                                    </tr>
                                    <tr id="tumor" class="display-none">
                                        <td class="jzsTabel-title">直系亲属</td>
                                        <td>
                                            <label><input type="checkbox" data-type="lineal" data-parent="tumor"
                                                          name="father"/> 父</label>
                                            <label><input type="checkbox" data-type="lineal" data-parent="tumor"
                                                          name="mother"/> 母</label>
                                            <label><input type="checkbox" data-type="lineal" data-parent="tumor"
                                                          name="brother"/> 兄弟</label>
                                            <label><input type="checkbox" data-type="lineal" data-parent="tumor"
                                                          name="sister"/> 姐妹</label>
                                            <label><input type="checkbox" data-type="lineal" data-parent="tumor"
                                                          name="children"/> 子女</label>
                                        </td>
                                        <td class="jzsTabel-title">非直系亲属</td>
                                        <td>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="tumor" name="grandfather"/> 爷爷</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="tumor" name="grandmother"/> 奶奶</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="tumor" name="grandma"/> 姥姥</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="tumor" name="grandpa"/> 姥爷</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="tumor" name="uncle"/> 叔叔</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="tumor" name="aunt"/> 姑姑</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="tumor" name="wifeSister"/> 姨</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="tumor" name="motherBrother"/> 舅舅</label>
                                            <label><input type="checkbox" data-type="notLineal"
                                                          data-parent="tumor" name="other"/> 其他亲属</label>
                                        </td>
                                    </tr>
                                    </tbody>
                                </table>
                            </div>
                        </div>
                        <div class="row margin-top-15">
                            <div class="col-xs-12">
                                <button type="button" class="btn btn-primary btn-outline btn-lg" data-toggle="modal"
                                        data-target="#addJzsCase">追加一组家族史
                                </button>
                            </div>
                        </div>
                        <!--备注-->
                        <div class="row margin-top-15" style="">
                            <div class="col-xs-12 xbs-separated">
                                <span>备注信息</span>
                            </div>
                        </div>
                        <div class="row margin-top-15">
                            <div class="col-xs-12 weight-change">
                                {{--<span class="weight-title">备注信息</span>--}}
                                <textarea name="remark" rows="10" placeholder="请填写备注信息" maxlength="255"></textarea>
                            </div>
                        </div>
                        <!--保存按钮-->
                        <div class="row margin-top-20">
                            <div class="col-xs-6 text-right">
                                <button type="button" class="btn btn-outline btn-primary btn-lg" id="jzsSave">保存
                                </button>
                            </div>
                            <div class="col-xs-6">
                                <button type="button" class="btn btn-outline btn-primary btn-lg" id="jzsSaveNext">
                                    保存并下一步
                                </button>
                            </div>
                        </div>
                    </form>
                    <input type="hidden" class="jzsId">
                </div>
                <!--体格检查-->
                <div class="tab-pane" id="tigejiancha">
                    @if(!Auth::user()->hospital->isWestern())
                        <div id="tgjcChineseMedicine" class="chineseMedicineBox">
                            <!--中医部分 start-->
                            <div class="row xbs-separated first-xbs-separated">
                                <div class="col-xs-12">
                                    <span>舌象</span>
                                </div>
                            </div>
                            <div class="margin-bottom-20 tgjc-border-bottom">
                                <div class="row margin-top-15 margin-bottom-15">
                                    <div class="col-xs-12">
                                        <table class="table-bordered text-center tongue-table">
                                            <tbody>
                                            <tr>
                                                <td class="tongue-name bg-default">舌色</td>
                                                <td class="tongue" data-name="color">
                                                    <label><input type="checkbox" name="tongueColor"
                                                                  value="淡红舌">淡红舌</label>
                                                    <label><input type="checkbox" name="tongueColor"
                                                                  value="淡白舌">淡白舌</label>
                                                    <label><input type="checkbox" name="tongueColor"
                                                                  value="枯白舌">枯白舌</label>
                                                    <label><input type="checkbox" name="tongueColor"
                                                                  value="红舌">红舌</label>
                                                    <label><input type="checkbox" name="tongueColor"
                                                                  value="絳舌">絳舌</label>
                                                    <label><input type="checkbox" name="tongueColor"
                                                                  value="青紫舌">青紫舌</label>
                                                    <label><input type="checkbox" name="tongueColor"
                                                                  value="淡紫舌">淡紫舌</label>
                                                </td>
                                                <td class="tongue-name bg-default">舌态</td>
                                                <td class="tongue" data-name="status">
                                                    <label><input type="checkbox" name="tongueState"
                                                                  value="痿软舌">痿软舌</label>
                                                    <label><input type="checkbox" name="tongueState"
                                                                  value="强硬舌">强硬舌</label>
                                                    <label><input type="checkbox" name="tongueState"
                                                                  value="歪斜舌">歪斜舌</label>
                                                    <label><input type="checkbox" name="tongueState"
                                                                  value="短缩舌">短缩舌</label>
                                                    <label><input type="checkbox" name="tongueState"
                                                                  value="颤动舌">颤动舌</label>
                                                    <label><input type="checkbox" name="tongueState"
                                                                  value="吐弄舌">吐弄舌</label>
                                                </td>
                                            </tr>
                                            <tr>
                                                <td class="tongue-name bg-default">舌型</td>
                                                <td class="tongue" data-name="shape">
                                                    <label><input type="checkbox" name="tongueType"
                                                                  value="老舌">老舌</label>
                                                    <label><input type="checkbox" name="tongueType"
                                                                  value="嫩舌">嫩舌</label>
                                                    <label><input type="checkbox" name="tongueType"
                                                                  value="胖大舌">胖大舌</label>
                                                    <label><input type="checkbox" name="tongueType"
                                                                  value="瘦薄舌">瘦薄舌</label>
                                                    <label><input type="checkbox" name="tongueType"
                                                                  value="点舌">点舌</label>
                                                    <label><input type="checkbox" name="tongueType"
                                                                  value="刺舌">刺舌</label>
                                                    <label><input type="checkbox" name="tongueType"
                                                                  value="裂纹舌">裂纹舌</label>
                                                    <label><input type="checkbox" name="tongueType"
                                                                  value="齿痕舌">齿痕舌</label>
                                                </td>
                                                <td class="tongue-name bg-default">舌下脉络</td>
                                                <td class="tongue" data-name="hypoglossis">
                                                    <label><input type="checkbox" name="tongueVein"
                                                                  value="舌下络脉青紫">舌下络脉青紫</label>
                                                    <label><input type="checkbox" name="tongueVein"
                                                                  value="舌下静脉曲张">舌下静脉曲张</label>
                                                    <label><input type="checkbox" name="tongueVein"
                                                                  value="舌下脉络细短">舌下脉络细短</label>
                                                </td>
                                            </tr>
                                            <tr>
                                                <td class="tongue-name bg-default">舌苔</td>
                                                <td class="tongue" data-name="tongue_coating">
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="薄苔">薄苔</label>
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="厚苔">厚苔</label>
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="润苔">润苔</label>
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="滑苔">滑苔</label>
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="燥苔">燥苔</label>
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="糙苔">糙苔</label>
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="腻苔">腻苔</label>
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="腐苔">腐苔</label>
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="中剥苔">中剥苔</label>
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="后剥苔">后剥苔</label>
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="花剥苔">花剥苔</label>
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="类剥苔">类剥苔</label>
                                                    <label><input type="checkbox" name="tongueCoating"
                                                                  value="镜面苔">镜面苔</label>
                                                    <label><input type="checkbox" name="tongueCoating" value="有根苔(真苔)">有根苔(真苔)</label>
                                                    <label><input type="checkbox" name="tongueCoating" value="无根苔(假苔)">无根苔(假苔)</label>
                                                </td>
                                                <td class="tongue-name bg-default">苔色</td>
                                                <td class="tongue" data-name="coating_color">
                                                    <label><input type="checkbox" name="mossColor "
                                                                  value="白苔">白苔</label>
                                                    <label><input type="checkbox" name="mossColor "
                                                                  value="积粉苔">积粉苔</label>
                                                    <label><input type="checkbox" name="mossColor "
                                                                  value="黄苔">黄苔</label>
                                                    <label><input type="checkbox" name="mossColor " value="淡黄苔(微黄苔)">淡黄苔(微黄苔)</label>
                                                    <label><input type="checkbox" name="mossColor " value="焦黄苔(老黄苔)">焦黄苔(老黄苔)</label>
                                                    <label><input type="checkbox" name="mossColor "
                                                                  value="黄腻苔">黄腻苔</label>
                                                    <label><input type="checkbox" name="mossColor "
                                                                  value="灰黑苔">灰黑苔</label>
                                                </td>
                                            </tr>
                                            <tr>
                                                <td class="tongue-name bg-default">脉象</td>
                                                <td class="tongue" colspan="3" data-name="pulse_condition">
                                                    <label><input type="checkbox" name="pulseCondition "
                                                                  value="浮脉">浮脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="沉脉">沉脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="迟脉">迟脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="滑脉">滑脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="涩脉">涩脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="数脉">数脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="虚脉">虚脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="实脉">实脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="长脉">长脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="断脉">断脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="短脉">短脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="洪脉">洪脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="微脉">微脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="紧脉">紧脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="缓脉">缓脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="牢脉">牢脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="弦脉">弦脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="革脉">革脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="芤脉">芤脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="濡脉">濡脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="细脉">细脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="动脉">动脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="弱脉">弱脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="散脉">散脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="伏脉">伏脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="促脉">促脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="结脉">结脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="代脉">代脉</label>
                                                    <label><input type="checkbox" name="pulseCondition"
                                                                  value="平脉">平脉</label>
                                                </td>
                                            </tr>
                                            <tr>
                                                <td class="tongue-name bg-default">备注</td>
                                                <td class="tongue shetaiRemarkTd" colspan="3" data-name="remark">
                                                    <textarea name="" maxlength="500" id="shetaiRemark" cols="30"
                                                              rows="10"></textarea>
                                                </td>
                                            </tr>
                                            </tbody>
                                        </table>
                                    </div>
                                </div>
                            </div>
                            <!--中医部分 end-->
                        </div>
                    @endif


                    <div class="tgjc-baseMessage tgjc-border-bottom padding-bottom-15">
                        <div class="row">
                            <div class="col-xs-4">
                                <span class="input-title">身高</span>
                                <div class="input-content examination" data-name="stature">
                                    <input type="number" placeholder="请填写身高" name="height"
                                           class="form-control input-content-left stature positiveInteger">
                                    <span class="input-content-right">CM</span>
                                </div>
                            </div>
                            <div class="col-xs-4">
                                <span class="input-title">体重</span>
                                <div class="input-content examination" data-name="weight">
                                    <input type="number" placeholder="请填写体重" name="weight"
                                           class="form-control input-content-left weight weightchangekg">
                                    <span class="input-content-right">KG</span>
                                </div>
                            </div>
                            <div class="col-xs-4">
                                <span class="input-title">BMI</span>
                                <div class="input-content examination" data-name="bmi">
                                    <input type="text" disabled name="bmi" class="form-control input-content-left"
                                           id="bmi">
                                </div>
                            </div>
                        </div>
                        <div class="row margin-top-15">
                            <div class="col-xs-4">
                                <span class="input-title">血压</span>
                                <div class="input-content examination" data-name="blood_pressure">
                                    <input type="number" data-name="high" placeholder="高压" name="highesthypertension"
                                           class="form-control input-content-050 positiveInteger">
                                    <span class="input-content-center">/</span>
                                    <input type="number" data-name="low" placeholder="低压" name="lowesthypertension"
                                           class="form-control input-content-050 input-contentR positiveInteger">
                                    <span class="input-content-right">mmHg</span>
                                </div>
                            </div>
                            <div class="col-xs-4">
                                <span class="input-title">脉搏</span>
                                <div class="input-content examination" data-name="pulse">
                                    <input type="number" placeholder="请填写脉搏" name="heartrate"
                                           class="form-control input-content-left positiveInteger">
                                    <span class="input-content-right">次/分</span>
                                </div>
                            </div>
                            <div class="col-xs-4">
                                <span class="input-title">腰围</span>
                                <div class="input-content examination" data-name="waistline">
                                    <input type="number" placeholder="请填写腰围" name="waist"
                                           class="form-control input-content-left weightchangekg">
                                    <span class="input-content-right">CM</span>
                                </div>
                            </div>
                        </div>
                        <div class="row margin-top-15">
                            <div class="col-xs-4">
                                <span class="input-title">甲状腺</span>
                                <div class="input-content examination" data-name="thyroid">
                                    <select class="form-control m-b input-content-selsect margin-bottom-0"
                                            name="thyroid">
                                        <option value="未触及">未触及</option>
                                        <option value="大Ⅰ度">大Ⅰ度</option>
                                        <option value="大Ⅱ度">大Ⅱ度</option>
                                        <option value="大Ⅲ度">大Ⅲ度</option>
                                    </select>
                                </div>
                            </div>
                            <div class="col-xs-4">
                                <span class="input-title">双下肢水肿</span>
                                <div class="input-content examination" data-name="edema">
                                    <select class="form-control m-b input-content-selsect margin-bottom-0"
                                            name="islimbedema">
                                        <option value="无">无</option>
                                        <option value="有">有</option>
                                    </select>
                                </div>
                            </div>
                            <div class="col-xs-4">
                                <span class="input-title">皮肤破溃</span>
                                <div class="input-content examination" data-name="skin_rupture">
                                    <select class="form-control m-b input-content-selsect margin-bottom-0"
                                            name="isskinulceration">
                                        <option value="无">无</option>
                                        <option value="有">有</option>
                                    </select>
                                </div>
                            </div>
                        </div>
                        <div class="row margin-top-15">
                            <div class="col-xs-4">
                                <span class="input-title">肢大貌</span>
                                <div class="input-content examination margin-top-10" data-name="large_limb_profile">
                                    <select class="form-control m-b input-content-selsect margin-bottom-0"
                                            name="limbBig">
                                        <option value="无">无</option>
                                        <option value="有">有</option>
                                    </select>
                                </div>
                            </div>
                        </div>


                        {{--新添加的西医对应的病历  川 ⬇️ 2017.12.18--}}
                        <div class="row margin-top-25">
                            <div class="col-xs-4">
                                <span class="input-title">心率</span>
                                <div class="input-content CN examination" data-name="heart_rate">
                                    <input type="number" maxlength="50" placeholder="" name="heart_rate"
                                           class="form-control CN input-content-left positiveInteger">
                                    <span class="input-content-right">次/分</span>
                                </div>
                            </div>
                            <div class="col-xs-3">
                                <span class="input-title">心律</span>
                                <div class="input-content CN examination" data-name="heart_rhythm">
                                    <input type="text" maxlength="50" placeholder="" name="heart_rhythm"
                                           class="form-control CN input-content-left ">
                                    {{--<span class="input-content-right">次/分</span>--}}
                                </div>
                            </div>
                            <div class="col-xs-5">
                                <span style="width:200px;" class="input-title">各瓣膜听诊区心音及杂音</span>
                                <div style="width:50%" class="input-content CN examination" data-name="heart_sound">
                                    <input style="width:100%" maxlength="50" type="text" name="heart_sound"
                                           class="form-control CN input-content-left">
                                </div>
                            </div>
                        </div>

                        <div class="row margin-top-15">
                            <div class="col-xs-4">
                                <span class="input-title">肝脾触诊</span>
                                <div class="input-content CN examination" data-name="liver_spleen_palpation">
                                    <input type="text" maxlength="50" placeholder="" name="liver_spleen_palpation"
                                           class="form-control CN input-content-left">
                                </div>
                            </div>
                            <div class="col-xs-4">
                                <span class="input-title">胸廓</span>
                                <div class="input-content CN examination" data-name="thorax">
                                    <input type="text" maxlength="50" placeholder="" name="thorax"
                                           class="form-control CN input-content-left">
                                </div>
                            </div>
                            <div class="col-xs-4">
                                <span class="input-title">肺部呼吸音</span>
                                <div class="input-content CN examination" data-name="lung_respiratory_sound">
                                    <input maxlength="50" type="text" name="lung_respiratory_sound"
                                           class="form-control CN input-content-left">
                                </div>
                            </div>
                        </div>

                        <div class="row margin-top-15">
                            <div class="col-xs-4">
                                <span class="input-title">干湿啰音</span>
                                <div class="input-content CN examination" data-name="rale">
                                    <input type="text" maxlength="50" placeholder="" name="rale"
                                           class="form-control CN input-content-left">
                                </div>
                            </div>
                            <div class="col-xs-4">
                                <span class="input-title">肝区叩诊</span>
                                <div class="input-content CN examination" data-name="renal_area_percussion">
                                    <input type="text" maxlength="50" placeholder="" name="renal_area_percussion"
                                           class="form-control CN input-content-left">
                                </div>
                            </div>
                            <div class="col-xs-4">
                                <span class="input-title">肾区叩诊</span>
                                <div class="input-content CN examination" data-name="liver_area_percussion">
                                    <input maxlength="50" type="text" name="liver_area_percussion"
                                           class="form-control CN input-content-left">
                                </div>
                            </div>
                        </div>

                        <div class="row margin-top-15">
                            <div class="col-xs-4">
                                <span class="input-title">腹部有无包块</span>
                                <div class="input-content CN examination" data-name="abdominal_mass">
                                    <select class="form-control m-b CN input-content-selsect margin-bottom-0"
                                            name="abdominal_mass">
                                        <option value="0">无</option>
                                        <option value="1">有</option>
                                    </select>
                                </div>
                            </div>
                        </div>

                        {{--新添加的西医对应的病历  川 ⬆️ 2017.12.18--}}


                    </div>
                    <div class="row margin-top-20">
                        <div class="col-xs-12">
                            <table class="table-bordered text-center tgjc-table">
                                <tbody>


                                <tr>
                                    <td class="tgjcTable-title">锁骨上脂肪垫</td>
                                    <td class="otheData" data-name="sfp">
                                        <label><input name="fatpad" value="0" type="radio" checked>不详</label>
                                        <label><input name="fatpad" value="1" type="radio">+</label>
                                        <label><input name="fatpad" value="2" type="radio">-</label>
                                    </td>
                                    <td class="tgjcTable-title">水牛背</td>
                                    <td class="otheData" data-name="buffalo_hump">
                                        <label><input name="buffaloback" value="0" type="radio" checked>不详</label>
                                        <label><input name="buffaloback" value="1" type="radio">+</label>
                                        <label><input name="buffaloback" value="2" type="radio">-</label>
                                    </td>
                                    <td class="tgjcTable-title">颈部黑棘皮症</td>
                                    <td class="otheData" data-name="acanthosis_nigricans">
                                        <label><input name="isblackspine" value="0" type="radio" checked>不详</label>
                                        <label><input name="isblackspine" value="1" type="radio">+</label>
                                        <label><input name="isblackspine" value="2" type="radio">-</label>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="tgjcTable-title">瘀斑</td>
                                    <td class="otheData" data-name="ecchymosis">
                                        <label><input name="ecchymosis" value="0" type="radio" checked>不详</label>
                                        <label><input name="ecchymosis" value="1" type="radio">+</label>
                                        <label><input name="ecchymosis" value="2" type="radio">-</label>
                                    </td>
                                    <td class="tgjcTable-title">腹部紫纹</td>
                                    <td class="otheData" data-name="apl">
                                        <label><input name="abdominal" value="0" type="radio" checked>不详</label>
                                        <label><input name="abdominal" value="1" type="radio">+</label>
                                        <label><input name="abdominal" value="2" type="radio">-</label>
                                    </td>
                                    <td class="tgjcTable-title">踝反射</td>
                                    <td class="otheData" data-name="ankle_reflex">
                                        <label><input name="anklereflex" value="1" type="radio" checked>正常</label>
                                        <label><input name="anklereflex" value="2" type="radio">减弱或消失</label>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="tgjcTable-title">大脚趾针刺痛觉</td>
                                    <td class="otheData" data-name="btnp">
                                        <label><input name="bigtoe1" value="1" type="radio" checked>正常</label>
                                        <label><input name="bigtoe1" value="2" type="radio">减弱或消失</label>
                                    </td>
                                    <td class="tgjcTable-title">大脚趾音叉振动觉</td>
                                    <td class="otheData" data-name="bttfvs">
                                        <label><input name="bigtoe2" value="1" type="radio" checked>正常</label>
                                        <label><input name="bigtoe2" value="2" type="radio">减弱或消失</label>
                                    </td>
                                    <td class="tgjcTable-title">大脚趾10g尼龙丝触觉</td>
                                    <td class="otheData" data-name="10gnt">
                                        <label><input name="bigtoe3" value="1" type="radio" checked>正常</label>
                                        <label><input name="bigtoe3" value="2" type="radio">减弱或消失</label>
                                    </td>
                                </tr>

                                {{--新添加的西医对应的病历  川 ⬇️ 2017.12.18--}}

                                <tr>
                                    <td class="xbTable-title tgjcTable-title">心包摩擦音</td>
                                    <td class="otheData" data-name="pericardial_fricative">
                                        <label><input name="xb" value="0" type="radio" checked>不详</label>
                                        <label><input name="xb" value="1" type="radio">+</label>
                                        <label><input name="xb" value="2" type="radio">-</label>
                                    </td>
                                    <td class="xmTable-title tgjcTable-title">胸膜摩擦音</td>
                                    <td class="otheData" data-name="pleural_fricative">
                                        <label><input name="xm" value="0" type="radio" checked>不详</label>
                                        <label><input name="xm" value="1" type="radio">+</label>
                                        <label><input name="xm" value="2" type="radio">-</label>
                                    </td>
                                    <td class="mfszTable-title tgjcTable-title">墨菲氏征</td>
                                    <td class="otheData" data-name="murphy_character">
                                        <label><input name="mfsz" value="0" type="radio" checked>不详</label>
                                        <label><input name="mfsz" value="1" type="radio">+</label>
                                        <label><input name="mfsz" value="2" type="radio">-</label>
                                    </td>

                                </tr>
                                <tr>
                                    <td class="ydxzyTable-title tgjcTable-title">移动性浊音</td>
                                    <td class="otheData" data-name="moving_dullness">
                                        <label><input name="ydzy" value="0" type="radio" checked>不详</label>
                                        <label><input name="ydzy" value="1" type="radio">+</label>
                                        <label><input name="ydzy" value="2" type="radio">-</label>
                                    </td>
                                </tr>

                                {{--新添加的西医对应的病历  川 ⬆️️ 2017.12.18--}}

                                </tbody>
                            </table>
                        </div>
                    </div>
                    <!--备注-->
                    <div class="row margin-top-15" style="">
                        <div class="col-xs-12 xbs-separated">
                            <span>备注信息</span>
                        </div>
                    </div>
                    <div class="row margin-top-15">
                        <div class="col-xs-12 weight-change">
                            {{--<span class="weight-title">备注信息</span>--}}
                            <textarea class="tgjcRemark" placeholder="请填写备注信息" name="remark" rows="10"
                                      maxlength="255"></textarea>
                        </div>
                    </div>
                    <!--保存按钮-->
                    <div class="row margin-top-20">
                        <div class="col-xs-6 text-right">
                            <button type="button" class="btn btn-outline btn-primary btn-lg" id="tgjcSave">保存</button>
                        </div>
                        <div class="col-xs-6">
                            <button type="button" class="btn btn-outline btn-primary btn-lg" id="tgjcSaveNext">保存并下一步
                            </button>
                        </div>
                    </div>
                    <input type="hidden" class="tgjcId">
                </div>
                <!--辅助检查-->
                <div class="tab-pane" id="fuzhujiancha">
                    <div id="navParentFZJC">
                        <ul class="nav nav-tabs" id="FZJCNav" role="tablist">
                            <li data-name="checkFirst" class="active"><a data-toggle="tab">检验项</a></li>
                            @if($scene->isCn())
                                <li data-name="checkSecond"><a data-toggle="tab">检查项</a></li>
                            @endif

                        </ul>
                    </div>
                    {{--<form>--}}
                    <div class="row">
                        <div class="col-xs-12">
                        @if($scene->isWestern())
                            @include('manage.auxiliary.we_survey')
                        @else
                            @include('manage.auxiliary.cn_survey')
                            @include('manage.auxiliary.check')

                        @endif
                        <!--图片上传-->
                            <div id="uploaderPhone" class="row margin-top-15 display-none">
                                <div class="col-xs-2">
                                    <div id="filePicker">上传影像照片</div>
                                </div>
                                <div class="col-xs-10">
                                    <!--用来存放item-->
                                    <div id="fileList" class="uploader-list row"></div>
                                    <!-- 显示放大图片 -->
                                    <div class="display-none" id="imgView">
                                        <img src="">
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                    <!--备注-->
                    <div class="row margin-top-15" style="">
                        <div class="col-xs-12 xbs-separated">
                            <span>备注信息</span>
                        </div>
                    </div>
                    <div class="row margin-top-15">
                        <div class="col-xs-12 weight-change">
                            {{--<span class="weight-title">备注信息</span>--}}
                            <textarea name="remark" placeholder="请填写备注信息" maxlength="255" rows="10"></textarea>
                        </div>
                    </div>
                    <!--保存按钮-->
                    <div class="row margin-top-20">
                        <div class="col-xs-6 text-right">
                            <button type="button" class="btn btn-outline btn-primary btn-lg" id="fzjcSave">保存
                            </button>
                        </div>
                        <div class="col-xs-6">
                            <button type="button" class="btn btn-outline btn-primary btn-lg" id="fzjcSaveNext">
                                保存并下一步
                            </button>
                        </div>
                    </div>
                    {{--</form>--}}
                    <input type="hidden" class="fzjcId">
                </div>
                <!--诊断-->
                <div class="tab-pane" id="zhenduan">
                    <div class="row">
                        <div class="col-xs-12">
                            <button type="button" class="btn btn-primary btn-outline btn-lg addDiagnosisBtn but_Fonts"
                                    data-toggle="modal" data-target="#addDiagnosis" data-id="zdAddDiagnosis">添加诊断
                            </button>
                        </div>
                    </div>
                    <div class="row margin-top-15">
                        <div class="col-xs-12" id="zdAddDiagnosis">

                        </div>
                    </div>


                    {{--<div id="cnMedicine" class="chineseMedicineBox">--}}
                    {{--<!--中医部分 start-->--}}
                    {{--<div class="row margin-top-20">--}}
                    {{--<div class="col-xs-12 xbs-separated">--}}
                    {{--<span>中医诊断</span>--}}
                    {{--</div>--}}
                    {{--</div>--}}
                    {{--<div class="row margin-top-15">--}}
                    {{--<div class="col-xs-12 input-box-one">--}}
                    {{--<button type="button" class="btn btn-primary btn-outline btn-lg" data-toggle="modal" data-target="#addCnDiagnoseType" id="addCnDiagnoseTypeBtn">添加诊断分型</button>--}}
                    {{--</div>--}}
                    {{--<div class="col-xs-12 margin-top-10 symptomList" id="viewCnDiagnoseType">--}}
                    {{--<h3>中医诊断分型：</h3>--}}
                    {{--<ul class="sui-tag"></ul>--}}
                    {{--</div>--}}
                    {{--<div class="col-xs-12 zd-zyzd">--}}
                    {{--挟--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[wind]" data-type="wind">&nbsp;风</label>--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[cold]" data-type="cold">&nbsp;寒</label>--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[heat]" data-type="heat">&nbsp;暑</label>--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[wet]" data-type="wet">&nbsp;湿</label>--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[dryness]" data-type="dryness">&nbsp;燥</label>--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[hot]" data-type="hot">&nbsp;热</label>--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[silt]" data-type="silt">&nbsp;淤</label>--}}
                    {{--</div>--}}
                    {{--</div>--}}
                    {{--todo 原--}}
                    {{--<div class="row margin-top-15">--}}
                    {{--<div class="col-xs-5 input-box-one">--}}
                    {{--<span class="input-title-position">中医诊断分型</span>--}}
                    {{--<select class="form-control m-b input-content diagnoseType margin-bottom-0"--}}
                    {{--name="cn_diagnose[type]">--}}
                    {{--<option value="">请选择</option>--}}
                    {{--<option value="1">阴虚燥热</option>--}}
                    {{--<option value="2">气阴两虚</option>--}}
                    {{--<option value="3">阴阳两虚</option>--}}
                    {{--<option value="4">阴阳欲绝</option>--}}
                    {{--</select>--}}
                    {{--</div>--}}
                    {{--<div class="col-xs-7 zd-zyzd">--}}
                    {{--挟--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[wind]" data-type="wind">&nbsp;风</label>--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[cold]" data-type="cold">&nbsp;寒</label>--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[heat]" data-type="heat">&nbsp;暑</label>--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[wet]" data-type="wet">&nbsp;湿</label>--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[dryness]"--}}
                    {{--data-type="dryness">&nbsp;燥</label>--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[hot]" data-type="hot">&nbsp;热</label>--}}
                    {{--<label><input type="checkbox" name="cn_diagnose[silt]" data-type="silt">&nbsp;淤</label>--}}
                    {{--</div>--}}
                    {{--</div>--}}
                    {{--<!--中医部分 end-->--}}
                    {{--</div>--}}

                    @if(!Auth::user()->hospital->isWestern())
                        <div id="cnMedicine" class="chineseMedicineBox">
                            <!--中医部分 start-->
                            <div class="row margin-top-20">
                                <div class="col-xs-12 xbs-separated">
                                    <span>中医诊断</span>
                                </div>
                            </div>
                            <div class="row margin-top-15">
                                <div class="col-xs-12 input-box-one">
                                    <button type="button" class="btn btn-primary btn-outline btn-lg" data-toggle="modal"
                                            data-target="#addCnDiagnoseType" id="addCnDiagnoseTypeBtn">添加诊断
                                    </button>
                                </div>
                                <div class="col-xs-12 margin-top-10 symptomList" id="viewCnDiagnoseType">
                                    {{--<h3>中医诊断分型：</h3>--}}
                                    {{--<ul class="sui-tag"></ul>--}}
                                    {{--<form action="" class="display-none">--}}
                                    <table class="display-none table-bordered table-striped table-hover text-center diagnosis-table">
                                        <thead>
                                        <tr style="height:52px; ">
                                            {{--<td>编号</td>--}}
                                            <td>病名</td>
                                            <td>分型</td>
                                            <td>ICD编码</td>
                                            <td>操作</td>
                                        </tr>
                                        </thead>
                                        <tbody id="addDiagnosisTbody">
                                        </tbody>
                                    </table>
                                    {{--</form>--}}

                                </div>
                                {{--<div class="col-xs-12 zd-zyzd">--}}
                                {{--挟--}}
                                {{--<label><input type="checkbox" name="cn_diagnose[wind]" data-type="wind">&nbsp;风</label>--}}
                                {{--<label><input type="checkbox" name="cn_diagnose[cold]" data-type="cold">&nbsp;寒</label>--}}
                                {{--<label><input type="checkbox" name="cn_diagnose[heat]" data-type="heat">&nbsp;暑</label>--}}
                                {{--<label><input type="checkbox" name="cn_diagnose[wet]" data-type="wet">&nbsp;湿</label>--}}
                                {{--<label><input type="checkbox" name="cn_diagnose[dryness]" data-type="dryness">&nbsp;燥</label>--}}
                                {{--<label><input type="checkbox" name="cn_diagnose[hot]" data-type="hot">&nbsp;热</label>--}}
                                {{--<label><input type="checkbox" name="cn_diagnose[silt]" data-type="silt">&nbsp;淤</label>--}}
                                {{--</div>--}}
                            </div>
                        {{--todo 原--}}
                        {{--<div class="row margin-top-15">--}}
                        {{--<div class="col-xs-5 input-box-one">--}}
                        {{--<span class="input-title-position">中医诊断分型</span>--}}
                        {{--<select class="form-control m-b input-content diagnoseType" name="cn_diagnose[type]">--}}
                        {{--<option value="">请选择</option>--}}
                        {{--<option value="1">阴虚燥热</option>--}}
                        {{--<option value="2">气阴两虚</option>--}}
                        {{--<option value="3">阴阳两虚</option>--}}
                        {{--<option value="4">阴阳欲绝</option>--}}
                        {{--</select>--}}
                        {{--</div>--}}
                        {{--<div class="col-xs-7 zd-zyzd">--}}
                        {{--挟--}}
                        {{--<label><input type="checkbox" name="cn_diagnose[wind]" data-type="wind">&nbsp;风</label>--}}
                        {{--<label><input type="checkbox" name="cn_diagnose[cold]" data-type="cold">&nbsp;寒</label>--}}
                        {{--<label><input type="checkbox" name="cn_diagnose[heat]" data-type="heat">&nbsp;暑</label>--}}
                        {{--<label><input type="checkbox" name="cn_diagnose[wet]" data-type="wet">&nbsp;湿</label>--}}
                        {{--<label><input type="checkbox" name="cn_diagnose[dryness]" data-type="dryness">&nbsp;燥</label>--}}
                        {{--<label><input type="checkbox" name="cn_diagnose[hot]" data-type="hot">&nbsp;热</label>--}}
                        {{--<label><input type="checkbox" name="cn_diagnose[silt]" data-type="silt">&nbsp;淤</label>--}}
                        {{--</div>--}}
                        {{--</div>--}}
                        <!--中医部分 end-->
                        </div>
                @endif

                <!--备注-->
                    <div class="row margin-top-15">
                        <div class="col-xs-12 xbs-separated">
                            <span>备注信息</span>
                        </div>
                    </div>
                    <div class="row margin-top-20">
                        <div class="col-xs-12 weight-change">
                            <span class="weight-title">备注信息</span>
                            <textarea name="remark" rows="10" maxLength="255"></textarea>
                        </div>
                    </div>
                    <!--保存按钮-->
                    <div class="row margin-top-20">
                        <div class="col-xs-6 text-right">
                            <button type="button" class="btn btn-outline btn-primary btn-lg" id="zdSave">保存</button>
                        </div>
                        <div class="col-xs-6">
                            <button type="button" class="btn btn-outline btn-primary btn-lg" id="zdSaveNext">保存并下一步
                            </button>
                        </div>
                    </div>
                    <input type="hidden" class="zdId">
                </div>
                <!--处理-->
                <div class="tab-pane" id="chuli">
                    @if(!$scene->isWestern())
                        <input type="hidden" id="hospitalTypeChuli" value="0">
                    @else
                        <input type="hidden" id="hospitalTypeChuli" value="1">
                    @endif
                    <div class="row xbs-separated first-xbs-separated" style="border-top:none">
                        <div class="col-xs-12">
                            <span>设定患者控制目标</span>
                        </div>
                    </div>
                    <div class="cl-baseMessage control_objectives">
                        <div class="row">
                            <div class="col-xs-12">
                                <div class="row margin-top-15">
                                    <div class="col-xs-4">
                                        <span class="input-title">HbA1c</span>
                                        <div class="input-content controlObjectivesVal" data-name="hba1c">
                                            <select class="form-control m-b input-content-selsect margin-bottom-0"
                                                    name="hba1c">
                                                <option value="6.5%" selected>6.5%</option>
                                                <option value="7.0%">7.0%</option>
                                                <option value="7.5%">7.5%</option>
                                                <option value="8.0%">8.0%</option>
                                                <option value="8.5%">8.5%</option>
                                                <option value="9.0%">9.0%</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-xs-4">
                                        <span class="input-title">空腹血糖</span>
                                        <div class="input-content controlObjectivesVal" data-name="fbg">
                                            <select class="form-control m-b input-content-selsect margin-bottom-0"
                                                    name="fastingblood">
                                                <option value="5~6mmol/L" selected>5~6mmol/L</option>
                                                <option value="5~7mmol/L">5~7mmol/L</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-xs-4">
                                        <span class="input-title">餐后2h血糖</span>
                                        <div class="input-content controlObjectivesVal" data-name="2hpbg">
                                            <select class="form-control m-b input-content-selsect margin-bottom-0"
                                                    name="meal2hblood">
                                                <option value="6~8mmol/L" selected>6~8mmol/L</option>
                                                <option value="6~10mmol/L">6~10mmol/L</option>
                                            </select>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                        <div class="row margin-top-15">
                            <div class="col-xs-4">
                                <span class="input-title inputSpan_txt2">血压</span>
                                <div class="input-content controlObjectivesVal" data-name="blood_pressure"
                                     style="width: 72%;">
                                    <input type="number" placeholder="高压" data-name="high" name="highesthypertension1"
                                           class="form-control input-content-050 positiveInteger">
                                    <span class="input-content-center">/</span>
                                    <input type="number" placeholder="低压" data-name="low" name="lowesthypertension1"
                                           class="form-control input-content-050 input-contentR positiveInteger">
                                    <span class="input-content-right but_Fonts3">mmHg</span>
                                </div>
                            </div>
                            {{--新添加TG TC ⬇️--}}
                            {{--<div class="col-xs-4">--}}
                            {{--<span class="input-title">LDL-C</span>--}}
                            {{--<div class="input-content controlObjectivesVal" data-name="ldl-c">--}}
                            {{--<input type="number" placeholder="请填写..." name="bloodfat"--}}
                            {{--class="form-control input-content-left ldlc">--}}
                            {{--<span class="input-content-right">mmol/L</span>--}}
                            {{--</div>--}}
                            {{--</div>--}}

                            <div class="col-xs-4">
                                <span class="input-title inputSpan_txtl" style="width:40%">血清总胆固醇(TG)</span>
                                <div class="input-content controlObjectivesVal inputDiv_txtl" style="width:58%"
                                     data-name="TG">
                                    <input type="number" placeholder="请填写..." name="TG"
                                           class="form-control input-content-left TG inputDiv_inputl">
                                    <span class="input-content-right but_Fonts3" style="width:15%">mmol/L</span>
                                </div>
                            </div>
                            <div class="col-xs-4">
                                <span class="input-title" style="width:35%">甘油三酯（TC）</span>
                                <div class="input-content controlObjectivesVal" style="width:63%" data-name="TC">
                                    <input type="number" placeholder="请填写..." name="TC"
                                           class="form-control input-content-left TC" style="width:60%;">
                                    <span class="input-content-right but_Fonts3" style="width:15%">mmol/L</span>
                                </div>
                            </div>
                        </div>
                    </div>

                    <div class="row xbs-separated margin-top-15">
                        <div class="col-xs-12">
                            <span>专科建议</span>
                        </div>
                    </div>
                    <div class="row margin-top-15">
                        <div class="col-xs-12">
                            <table class="table-bordered table-striped table-hover text-center cl-table1 manageTable">
                                <thead>
                                <tr>
                                    <th>选择意见</th>
                                    <th>补充意见</th>
                                    <th>选择意见</th>
                                    <th>补充意见</th>
                                </tr>
                                </thead>
                                <tbody>
                                <tr>
                                    <td class="adviseName" data-name="matters">
                                        <label><input name="isjieshi" type="checkbox" checked disabled/>解释注意事项</label>
                                    </td>
                                    <td></td>
                                    <td class="adviseName" data-name="diet">
                                        <label><input name="iscontroldiet" type="checkbox" checked
                                                      disabled/>合理控制饮食</label>
                                    </td>
                                    <td class="input-td adviseName" style="padding:.5rem">
                                        @if(\Auth::user()->hospital->isWestern())
                                            <div style="clear:both;"></div>
                                            <input type="text" class="form-control margin-top-15"
                                                   name="controldietsuggest" maxlength="50"
                                                   placeholder="请输入具体意见...">
                                        @else
                                            <div class="mainFood" style="overflow:hidden">
                                                <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;">主食</span>
                                                <input name="staple" type="text" maxlength="50" class="form-control"
                                                       style="width:15%;float:left;padding:6px 3px;vertical-align: middle;margin:5px;">
                                                <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;">两：</span>

                                                <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;">早</span>
                                                <input name="breakfast" type="text" maxlength="50" class="form-control"
                                                       style="width:15%;float:left;padding:6px 3px;vertical-align: middle;margin:5px;">
                                                <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;">两，</span>

                                                <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;">午</span>
                                                <input name="lunch" type="text" maxlength="50" class="form-control"
                                                       style="width:15%;padding:6px 3px;float:left;vertical-align: middle;margin:5px;">
                                                <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;">两，</span>

                                                <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;">晚</span>
                                                <input name="dinner" type="text" maxlength="50" class="form-control"
                                                       style="width:15%;float:left;padding:6px 3px;vertical-align: middle;margin:5px;">
                                                <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;">两(生活、细粮)</span>
                                            </div>
                                            <div class="meat" style="overflow:hidden">
                                                <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;">生肉或淡水鱼<</span>
                                                <input name="meat" type="text" maxlength="50" class="form-control"
                                                       style="width:15%;float:left;padding:6px 3px;vertical-align: middle;margin:5px;">
                                                <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;">两(中午2/3，晚上1/3)</span>
                                            </div>
                                            <div class="fasting" style="overflow:hidden;height:4rem">
                                                <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;text-align: left;">禁食：甜食，动物内脏，海产品，煎炸物，坚果，咸菜，蔬菜不限量</span>
                                            </div>
                                        @endif
                                    </td>
                                </tr>
                                <tr>
                                    <td class="adviseName" data-name="low_salt">
                                        <label><input name="isregularmedication" checked disabled type="checkbox"/>低盐食物</label>
                                    </td>
                                    <td>
                                        <div class="lowSalt" style="overflow:hidden;height:4rem">
                                            <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;text-align: left;">限盐：每天<</span>
                                            <input name="lowSalt" type="text" maxlength="50" class="form-control"
                                                   style="width:4rem;padding:6px 4px;float:left;vertical-align: middle;margin:5px;">
                                            <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;text-align: left;">克</span>


                                        </div>
                                    </td>
                                    {{--坚持运动 ⬇️--}}
                                    <td class="adviseName" data-name="regular_exercise">
                                        <label><input name="regular_exercise" checked disabled
                                                      type="checkbox"/>坚持运动</label>
                                    </td>
                                    <td style="padding:.5rem">
                                        @if(\Auth::user()->hospital->isWestern())
                                            <div style="clear:both;"></div>
                                            <input type="text" class="form-control margin-top-15"
                                                   name="controldietsuggest" maxlength="50"
                                                   placeholder="请输入具体意见...">
                                        @else
                                            <div class="exercise_regularly" style="">
                                                <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;text-align: left;">三餐后1小时平地散步/快走，每次</span>
                                                <input name="exercise_regularly" type="text" maxlength="50"
                                                       class="form-control"
                                                       style="width:15%;float:left;padding:6px 3px;vertical-align: middle;margin:5px;">
                                                <span style="text-align: left;float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;">分钟</span>
                                            </div>
                                        @endif
                                    </td>
                                </tr>

                                <tr>


                                    <td class="adviseName" data-name="smbg">
                                        <label><input name="isjieshi" type="checkbox" checked disabled/>监测血糖并记录</label>
                                    </td>
                                    <td>
                                        <label><input data-name="before_breakfast" name="monitorblood[]" type="checkbox"
                                                      value="0" checked disabled/>早餐前</label>
                                        <label class="margin-left-10"><input data-name="before_lunch"
                                                                             name="monitorblood[]" type="checkbox"
                                                                             value="2"/>午餐前</label>
                                        <label class="margin-left-10"><input data-name="before_dinner"
                                                                             name="monitorblood[]" type="checkbox"
                                                                             value="4"/>晚餐前</label>
                                        <br>
                                        <label><input data-name="before_sleep" name="monitorblood[]" type="checkbox"
                                                      value="6"/>睡前</label>
                                        <label><input data-name="after_breakfast_2" name="monitorblood[]"
                                                      type="checkbox" value="1" checked disabled/>早餐后2h</label>
                                        <label><input data-name="after_lunch_2" name="monitorblood[]" type="checkbox"
                                                      value="3" checked disabled/>午餐后2h</label>
                                        <br>
                                        <label><input data-name="after_dinner_2" name="monitorblood[]" type="checkbox"
                                                      value="5" checked disabled/>晚餐后2h</label>
                                        <label><input data-name="morning" name="monitorblood[]" type="checkbox"
                                                      value="7"/>凌晨</label>
                                    </td>
                                    <td class="adviseName" data-name="change_treatment_plan">
                                        <label><input name="istreatment" type="checkbox"/>治疗暂不变</label>
                                    </td>
                                    <td></td>
                                </tr>
                                <tr>
                                    <td class="adviseName" data-name="rest_schedule">
                                        <label><input name="iscontroldiet" type="checkbox" checked
                                                      disabled/>生活规律</label>
                                    </td>
                                    <td class="input-td">
                                        @if(\Auth::user()->hospital->isWestern())
                                            <input type="text" class="form-control" name="regularexercisesuggest"
                                                   maxlength="50" placeholder="请输入具体意见...">
                                        @else
                                            <span style="float:left;height: 2.125rem;line-height: 2.125rem;margin:5px;">晚上10:30入睡,早上6:30起床，午休不超过半个小时</span>

                                        @endif
                                    </td>
                                    <td class="adviseName" data-name="lose_weight">
                                        <label><input name="isweightloss" type="checkbox"/>减重</label>
                                    </td>
                                    <td class="input-td" style="padding:.5rem">
                                        <input type="text" class="form-control" name="weightlosssuggest" maxlength="50"
                                               placeholder="请输入具体意见...">
                                    </td>
                                </tr>
                                <tr>
                                    <td class="adviseName" data-name="take_drugs">
                                        <label><input name="isregularmedication" type="checkbox"/>规律用药</label>
                                    </td>
                                    <td></td>
                                    <td class="adviseName" data-name="follow_up_clinic">
                                        <label><input name="israndomdiagnosis" type="checkbox" checked
                                                      disabled/>随诊</label>
                                    </td>
                                    <td></td>
                                </tr>
                                <tr>
                                    <td class="adviseName" data-name="low_protein">
                                        <label><input name="israndomdiagnosis" type="checkbox"/>低蛋白食物</label>
                                    </td>
                                    <td></td>
                                    <td class="adviseName" data-name="low_purine">
                                        <label><input name="israndomdiagnosis" type="checkbox"/>低嘌呤食物</label>
                                    </td>
                                    <td></td>
                                </tr>
                                <tr>
                                    <td class="adviseName" data-name="low_fat">
                                        <label><input name="isregularmedication" type="checkbox"/>低脂食物</label>
                                    </td>
                                    <td></td>
                                    <td class="adviseName" data-name="pec">
                                        <label><input name="joinclass" type="checkbox" class="joinclass"
                                                      data-id="joinclass"/>参加患者教育课程</label>
                                    </td>
                                    <td>
                                        <div id="joinclass" class="display-none">
                                            <label><input name="joinclassType" type="checkbox"
                                                          value="1"/>糖尿病基础知识</label>
                                            <label><input name="joinclassType" type="checkbox"
                                                          value="2"/>糖尿病患者饮食指导</label>
                                            <label><input name="joinclassType" type="checkbox"
                                                          value="3"/>糖尿病患者运动指导</label>
                                            <label><input name="joinclassType" type="checkbox"
                                                          value="4"/>糖尿病患者口服药合理使用</label>
                                            <label><input name="joinclassType" type="checkbox"
                                                          value="5"/>胰岛素注射技巧</label>
                                            <label><input name="joinclassType" type="checkbox" value="6"/>糖尿病患者如何做好自我血糖监测</label>
                                            <label><input name="joinclassType" type="checkbox" value="7"/>糖尿病患者慢性并发症相关知识</label>
                                            <label><input name="joinclassType" type="checkbox" value="8"/>糖尿病患者急性并发症相关知识</label>
                                            <label><input name="joinclassType" type="checkbox" value="9"/>糖尿病患者低血糖的处理原则</label>
                                            <label><input name="joinclassType" type="checkbox" value="10"/>佩戴胰岛素泵患者的相关指导</label>
                                            <label><input name="joinclassType" type="checkbox" value="11"/>糖尿病患者日常护理相关指导（足部、皮肤等）</label>
                                            <input class="form-control" name="joinclassType" type="text" maxlength="50"
                                                   placeholder="如有其他感兴趣的话题请在此处填写"/>
                                        </div>
                                    </td>
                                </tr>
                                <tr>

                                    <td class="adviseName" data-name="other">
                                        <label><input name="isothertreatment" type="checkbox"/>(其)余治疗不变</label>
                                    </td>
                                    <td></td>
                                </tr>
                                </tbody>
                            </table>
                        </div>
                    </div>

                    <div class="row xbs-separated margin-top-15">
                        <div class="col-xs-6">
                            <span>治疗方案</span>
                        </div>
                        <div class="col-xs-6 text-right display-none" id="addMedicationBtnBox">
                            <button type="button" class="btn btn-outline btn-primary addMedicationBtn"
                                    data-toggle="modal" data-target="#addMedication" data-id="clAddMedication"
                                    data-type="allTime">添加用药
                            </button>
                        </div>
                    </div>
                    <div class="row margin-top-15">
                        <div class="col-xs-12 zlfa-radio">
                            <label style="display:none"><input type="radio" name="isunchanged" value="1"/>曾用全部用药</label>
                            <label style="display:none"><input type="radio" name="isunchanged" value="2" checked/>目前用药不变</label>
                            <label style="display:none"><input id="changeMedical" type="radio" name="isunchanged"
                                                               value="3"/>修改用药方案</label>
                        </div>
                    </div>
                    <div class="row margin-top-15">
                        <div class="col-xs-12" id="clAddMedication">

                        </div>
                    </div>

                    @if(!Auth::user()->hospital->isWestern())
                    <!--汤药详情 放置到添加检查方案上面 ⬇️-->
                        <div id="clChineseMedicine" class="chineseMedicineBox">
                            <!--中医部分 start-->
                            <div class="row xbs-separated margin-top-15">
                                <div class="col-xs-6">
                                    <span>汤药详情</span>
                                </div>
                                <div class="col-xs-6 text-right">
                                    <button type="button" class="btn btn-outline btn-primary addTcmBtn"
                                            data-toggle="modal"
                                            data-target="#addTcm" data-id="clAddTcm">添加汤药
                                    </button>
                                </div>
                            </div>
                            <div class="row margin-top-15">
                                <div class="col-xs-12" id="clAddTcm">

                                </div>
                            </div>
                            <!--中医部分 end-->
                        </div>
                        <!--汤药详情 放置到添加检查方案上面 ⬆️-->
                    @endif


                    <div class="row xbs-separated margin-top-15">
                        <div class="col-xs-12">
                            <span>检查方案</span>
                        </div>
                    </div>
                    <div class="row margin-top-15">
                        <div class="col-xs-12">
                            <table class="table-bordered table-striped table-hover text-center cl-table1 manageTable">
                                <thead>
                                <tr>
                                    <th>
                                        <input type="checkbox" class="allChecked" name="allCheckProject">检查项目
                                    </th>
                                    <th>检查周期</th>
                                    <th>检查项目</th>
                                    <th>检查周期</th>
                                </tr>
                                </thead>
                                <tbody>
                                <tr>
                                    <td class="inspection_plan">
                                        <label><input data-name="blood_fat" name="xzqt" type="checkbox"/>血脂全套</label>
                                    </td>
                                    <td class="input-td blood_fat">
                                        <select name="xzqtDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                    <td class="inspection_plan">
                                        <label><input data-name="body_sensations" name="qtgs"
                                                      type="checkbox"/>躯体感受</label>
                                    </td>
                                    <td class="input-td body_sensations">
                                        <select name="qtgsDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="inspection_plan">
                                        <label><input data-name="kidney" name="sgqt" type="checkbox"/>肾功全套</label>
                                    </td>
                                    <td class="input-td kidney">
                                        <select name="sgqtDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                    <td class="inspection_plan">
                                        <label><input data-name="liver" name="ggqt" type="checkbox"/>肝功全套</label>
                                    </td>
                                    <td class="input-td liver">
                                        <select name="ggqtDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="inspection_plan">
                                        <label><input data-name="blood_routine" name="xcg" type="checkbox"/>血常规</label>
                                    </td>
                                    <td class="input-td blood_routine">
                                        <select name="xcgDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                    <td class="inspection_plan">
                                        <label><input data-name="hbalc" name="thxhdb" type="checkbox"/>糖化血红蛋白</label>
                                    </td>
                                    <td class="input-td hbalc">
                                        <select name="thxhdbDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="inspection_plan">
                                        <label><input data-name="ga" name="thbdb" type="checkbox"/>糖化白蛋白</label>
                                    </td>
                                    <td class="input-td ga">
                                        <select name="thbdbDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                    <td class="inspection_plan">
                                        <label><input data-name="urine_routine" name="ncg" type="checkbox"/>尿常规</label>
                                    </td>
                                    <td class="input-td urine_routine">
                                        <select name="ncgDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="inspection_plan">
                                        <label><input data-name="uacr" name="nbdb" type="checkbox"/>尿白蛋白肌酐比</label>
                                    </td>
                                    <td class="input-td uacr">
                                        <select name="nbdbDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                    <td class="inspection_plan">
                                        <label><input data-name="thyroid1" name="jg1" type="checkbox"/>甲功1</label>
                                    </td>
                                    <td class="input-td thyroid1">
                                        <select name="jg1Date" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="inspection_plan">
                                        <label><input data-name="thyroid2" name="jg2" type="checkbox"/>甲功</label>
                                    </td>
                                    <td class="input-td thyroid2">
                                        <select name="jg2Date" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                    <td class="inspection_plan">
                                        <label><input data-name="thyroid3" name="jg3" type="checkbox"/>甲功3</label>
                                    </td>
                                    <td class="input-td thyroid3">
                                        <select name="jg3Date" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="inspection_plan">
                                        <label><input data-name="fundus" name="yd" type="checkbox"/>眼底</label>
                                    </td>
                                    <td class="input-td fundus">
                                        <select name="ydDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                    <td class="inspection_plan">
                                        <label><input data-name="abi/tbi" name="abi" type="checkbox"/>ABI/TBI</label>
                                    </td>
                                    <td class="input-td abi-tbi">
                                        <select name="abiDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="inspection_plan">
                                        <label><input data-name="leau" name="xzdmcs" type="checkbox"/>下肢动脉超声</label>
                                    </td>
                                    <td class="input-td leau">
                                        <select name="xzdmcsDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                    <td class="inspection_plan">
                                        <label><input data-name="cau" name="jzdmcs" type="checkbox"/>颈椎动脉超声</label>
                                    </td>
                                    <td class="input-td cau">
                                        <select name="jzdmcsDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="inspection_plan">
                                        <label><input data-name="uu" name="mnxcs" type="checkbox"/>泌尿系超声</label>
                                    </td>
                                    <td class="input-td uu">
                                        <select name="mnxcsDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                    <td class="inspection_plan">
                                        <label><input data-name="mlecg" name="dnddlxdt"
                                                      type="checkbox"/>电脑多导联心电图</label>
                                    </td>
                                    <td class="input-td mlecg">
                                        <select name="dnddlxdtDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="inspection_plan">
                                        <label><input data-name="au" name="fbcs" type="checkbox"/>腹部超声(肝胆胰脾)</label>
                                    </td>
                                    <td class="input-td au">
                                        <select name="fbcsDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                    <td class="inspection_plan">
                                        <label><input data-name="hemoglobin" name="xhdb" type="checkbox"/>血红蛋白</label>
                                    </td>
                                    <td class="input-td hemoglobin">
                                        <select name="xhdbDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="inspection_plan">
                                        <label><input data-name="diabetes_antibodies1" name="tnbxgkt" type="checkbox"/>1型糖尿病相关抗体</label>
                                    </td>
                                    <td class="input-td diabetes_antibodies1">
                                        <select name="tnbxgktDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                    <td class="inspection_plan">
                                        <label><input data-name="ogtt" name="ogtt" type="checkbox"/>OGTT实验</label>
                                    </td>
                                    <td class="input-td ogtt">
                                        <select name="ogttDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                </tr>
                                <tr>
                                    <td class="inspection_plan">
                                        <label><input data-name="c-p" name="ct" type="checkbox"/>C肽</label>
                                    </td>
                                    <td class="input-td c-p">
                                        <select name="ctDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                    <td class="inspection_plan">
                                        <label><input data-name="ins" name="ins" type="checkbox"/>Ins</label>
                                    </td>
                                    <td class="input-td ins">
                                        <select name="insDate" class="form-control">
                                            <option value="1">1月</option>
                                            <option value="2">2月</option>
                                            <option value="3">3月</option>
                                            <option value="4">4月</option>
                                            <option value="5">5月</option>
                                            <option value="6">6月</option>
                                            <option value="7">7月</option>
                                            <option value="8">8月</option>
                                            <option value="9">9月</option>
                                            <option value="10">10月</option>
                                            <option value="11">11月</option>
                                            <option value="12">12月</option>
                                        </select>
                                    </td>
                                </tr>
                                </tbody>
                            </table>
                        </div>
                    </div>

                    <!--添加的检查项目表格  start-->
                    <div class="row margin-top-15">
                        <div class="col-xs-12" id="clAddSolution"></div>
                    </div>
                    <!--添加的检查项目表格  end-->
                    <div class="row margin-top-15">
                        <div class="col-xs-12">
                            <button type="button" class="btn btn-primary btn-outline btn-lg addSolutionBtn but_Fonts"
                                    data-toggle="modal" data-target="#addSolution" data-id="clAddSolution">添加检查方案
                            </button>
                        </div>
                    </div>
                    <div class="row margin-top-15 cl-baseMessage scheduleInput">
                        <div class="col-xs-4">
                            <span class="input-title">建议转诊</span>
                            <div class="input-content">
                                <input type="text" data-name="transfer_treatment" name="department"
                                       class="form-control input-content-left but_Fonts" placeholder="请填写..."
                                       maxLength="50">
                                <span class="input-content-right">科</span>
                            </div>
                        </div>
                        <div class="col-xs-4 input-width-title">
                            <span class="input-title">治疗方案及处方</span>
                            <div class="input-content">
                                <input type="text" data-name="plan" name="isprescription"
                                       class="form-control input-content-left but_Fonts" placeholder="请填写..."
                                       maxLength="50">
                            </div>
                        </div>
                        <div class="col-xs-4">
                            <span class="input-title">日期</span>
                            <div class="input-content">
                                <input type="text" data-name="date" name="prescriptiondate" data-toggle="datepicker"
                                       class="form-control input-content-left but_Fonts" placeholder="请填写...">
                            </div>
                        </div>
                    </div>


                    <!--备注-->
                    <div class="row margin-top-15" style="border-top:25px solid #F3F3F4;padding:0">
                        <div class="col-xs-12 xbs-separated">
                            <span>备注信息</span>
                        </div>
                    </div>
                    <div class="row margin-top-20">
                        <div class="col-xs-12 weight-change">
                            {{--<span class="weight-title">备注信息</span>--}}
                            <textarea class="but_Fonts" name="remark" rows="10" placeholder="请填写备注信息" maxLength="255"
                                      style="font-size:.8rem"></textarea>
                        </div>
                    </div>
                    <!--保存按钮-->
                    <div class="row margin-top-20">
                        <div class="col-xs-6 text-right">
                            <button type="button" class="btn btn-outline btn-primary btn-lg" id="clSave">保存</button>
                        </div>
                        <div class="col-xs-6">
                            <button type="button" class="btn btn-outline btn-primary btn-lg" id="clSaveNext"
                                    data-url="{{ route('manage.view.index') }}">
                                @if(!$scene->isWestern())
                                    保存并下一步
                                @else
                                    保存并返回
                                @endif

                            </button>
                        </div>
                    </div>
                    <input type="hidden" class="clId">
                </div>

                <!--并发症-->
                <div class="tab-pane" id="complication">
                    <div class="row">
                        <div class="col-xs-12 text-center">

                            <div id="navParentBFZ">
                                <ul class="nav nav-tabs" id="bfzNav" role="tablist">
                                    <li data-name="checkFirst" class="active"><a data-toggle="tab">周围神经病变</a></li>
                                    <li data-name="checkSecond"><a data-toggle="tab">眼部病变</a></li>
                                </ul>

                                <div class="row margin-top-20 zwsjbb">

                                    <form class="clinicalSymptomsForm" action="">

                                        <!-- 临床症状-->


                                        <div class="title">临床症状</div>
                                        <table class="table-bordered table table_lc">
                                            <thead>
                                            <tr>
                                                <th class="col-lg-4">临床症状</th>
                                                <th class="col-lg-4">阴性/阳性</th>
                                                <th class="col-lg-3">备注</th>
                                            </tr>
                                            </thead>
                                            <tbody>
                                            <tr class="radioTr">
                                                <td>疼痛</td>
                                                <td>
                                                    <div class="radio">
                                                        <div class="col-lg-6"><input class="addSub" name="tt" value="1"
                                                                                     type="radio"> <span>-</span></div>
                                                        <div class="col-lg-6"><input class="addSub" name="tt" value="2"
                                                                                     type="radio"><span>+</span></div>
                                                        <div class="col-lg-6 display-none"><input checked class="addSub"
                                                                                                  name="tt" value="0"
                                                                                                  type="radio"><span></span>
                                                        </div>
                                                    </div>

                                                </td>
                                                <td>
                                                    <textarea maxlength="500" name="tt" id="" cols="30"
                                                              rows="10"></textarea>
                                                </td>
                                            </tr>
                                            <tr class="radioTr">
                                                <td>麻木</td>
                                                <td>
                                                    <div class="radio">
                                                        <div class="col-lg-6"><input class="addSub" name="mm" value="1"
                                                                                     type="radio"> <span>-</span></div>
                                                        <div class="col-lg-6"><input class="addSub" name="mm" value="2"
                                                                                     type="radio"><span>+</span></div>
                                                        <div class="col-lg-6 display-none"><input checked class="addSub"
                                                                                                  name="mm" value="0"
                                                                                                  type="radio"><span></span>
                                                        </div>
                                                    </div>

                                                </td>
                                                <td>
                                                    <textarea maxlength="500" name="" id="" cols="30"
                                                              rows="10"></textarea>
                                                </td>
                                            </tr>
                                            <tr class="radioTr">
                                                <td>感觉异常</td>
                                                <td>
                                                    <div class="radio">
                                                        <div class="col-lg-6"><input class="addSub" name="ycgj"
                                                                                     value="1"
                                                                                     type="radio"> <span>-</span></div>
                                                        <div class="col-lg-6"><input class="addSub" name="ycgj"
                                                                                     value="2"
                                                                                     type="radio"><span>+</span></div>
                                                        <div class="col-lg-6 display-none"><input checked class="addSub"
                                                                                                  name="ycgj" value="0"
                                                                                                  type="radio"><span></span>
                                                        </div>
                                                    </div>

                                                </td>
                                                <td>
                                                    <textarea maxlength="500" name="" id="" cols="30"
                                                              rows="10"></textarea>
                                                </td>
                                            </tr>
                                            </tbody>
                                        </table>


                                        <!-- 专科检查-->
                                        <div class="title">专科检查</div>
                                        <table class="table-bordered table table_zj">
                                            <thead>
                                            <tr>
                                                <th class="col-lg-4">专科检查</th>
                                                <th class="col-lg-4">阴性/阳性</th>
                                                <th class="col-lg-3">备注</th>
                                            </tr>
                                            </thead>
                                            <tbody>
                                            <tr class="radioTr">
                                                <td>踝反射</td>
                                                <td>
                                                    <div class="radio">
                                                        <div class="col-lg-6"><input class="addSub" name="hfs" value="1"
                                                                                     type="radio"> <span>-</span></div>
                                                        <div class="col-lg-6"><input class="addSub" name="hfs" value="2"
                                                                                     type="radio"><span>+</span></div>
                                                        <div class="col-lg-6 display-none"><input checked class="addSub"
                                                                                                  name="hfs" value="0"
                                                                                                  type="radio"><span></span>
                                                        </div>

                                                    </div>

                                                </td>
                                                <td>
                                                    <textarea maxlength="500" name="" id="" cols="30"
                                                              rows="10"></textarea>
                                                </td>
                                            </tr>
                                            <tr class="radioTr">
                                                <td>针刺痛觉</td>
                                                <td>
                                                    <div class="radio">
                                                        <div class="col-lg-6"><input class="addSub" name="zctj"
                                                                                     value="1"
                                                                                     type="radio"> <span>-</span></div>
                                                        <div class="col-lg-6"><input class="addSub" name="zctj"
                                                                                     value="2"
                                                                                     type="radio"><span>+</span></div>
                                                        <div class="col-lg-6 display-none"><input checked class="addSub"
                                                                                                  name="zctj" value="0"
                                                                                                  type="radio"><span></span>
                                                        </div>
                                                    </div>

                                                </td>
                                                <td>
                                                    <textarea maxlength="500" name="" id="" cols="30"
                                                              rows="10"></textarea>
                                                </td>
                                            </tr>
                                            <tr class="radioTr">
                                                <td>震动觉</td>
                                                <td>
                                                    <div class="radio">
                                                        <div class="col-lg-6"><input class="addSub" name="zdj" value="1"
                                                                                     type="radio"> <span>-</span></div>
                                                        <div class="col-lg-6"><input class="addSub" name="zdj" value="2"
                                                                                     type="radio"><span>+</span></div>
                                                        <div class="col-lg-6 display-none"><input checked class="addSub"
                                                                                                  name="zdj" value="0"
                                                                                                  type="radio"><span></span>
                                                        </div>
                                                    </div>

                                                </td>
                                                <td>
                                                    <textarea maxlength="500" name="" id="" cols="30"
                                                              rows="10"></textarea>
                                                </td>
                                            </tr>
                                            <tr class="radioTr">
                                                <td>压力觉
                                                </td>
                                                <td>
                                                    <div class="radio">
                                                        <div class="col-lg-6"><input class="addSub" name="ylj" value="1"
                                                                                     type="radio"> <span>-</span></div>
                                                        <div class="col-lg-6"><input class="addSub" name="ylj" value="2"
                                                                                     type="radio"><span>+</span></div>
                                                        <div class="col-lg-6 display-none"><input checked class="addSub"
                                                                                                  name="ylj" value="0"
                                                                                                  type="radio"><span></span>
                                                        </div>
                                                    </div>

                                                </td>
                                                <td>
                                                    <textarea maxlength="500" name="" id="" cols="30"
                                                              rows="10"></textarea>
                                                </td>
                                            </tr>
                                            <tr class="radioTr">
                                                <td>温度觉</td>
                                                <td>
                                                    <div class="radio">
                                                        <div class="col-lg-6"><input class="addSub" name="wdj" value="1"
                                                                                     type="radio"> <span>-</span></div>
                                                        <div class="col-lg-6"><input class="addSub" name="wdj" value="2"
                                                                                     type="radio"><span>+</span></div>
                                                        <div class="col-lg-6 display-none"><input checked class="addSub"
                                                                                                  name="wdj" value="0"
                                                                                                  type="radio"><span></span>
                                                        </div>
                                                    </div>

                                                </td>
                                                <td>
                                                    <textarea maxlength="500" name="" id="" cols="30"
                                                              rows="10"></textarea>
                                                </td>
                                            </tr>

                                            <tr class="radioTr">
                                                <td>足背动脉搏动</td>
                                                <td>
                                                    <div class="radio">
                                                        <div class="col-lg-6"><input class="addSub" name="zbdmbd"
                                                                                     value="1"
                                                                                     type="radio"> <span>-</span></div>
                                                        <div class="col-lg-6"><input class="addSub" name="zbdmbd"
                                                                                     value="2"
                                                                                     type="radio"><span>+</span></div>
                                                        <div class="col-lg-6 display-none"><input checked class="addSub"
                                                                                                  name="zbdmbd"
                                                                                                  value="0"
                                                                                                  type="radio"><span></span>
                                                        </div>
                                                    </div>

                                                </td>
                                                <td>
                                                    <textarea maxlength="500" name="" id="" cols="30"
                                                              rows="10"></textarea>
                                                </td>
                                            </tr>

                                            <tr class="radioTr">
                                                <td>皮温</td>
                                                <td>
                                                    <div class="radio">
                                                        <div class="col-lg-6"><input class="addSub" name="pw" value="1"
                                                                                     type="radio"> <span>-</span></div>
                                                        <div class="col-lg-6"><input class="addSub" name="pw" value="2"
                                                                                     type="radio"><span>+</span></div>
                                                        <div class="col-lg-6 display-none"><input checked class="addSub"
                                                                                                  name="pw" value="0"
                                                                                                  type="radio"><span></span>
                                                        </div>
                                                    </div>

                                                </td>
                                                <td>
                                                    <textarea maxlength="500" name="" id="" cols="30"
                                                              rows="10"></textarea>
                                                </td>
                                            </tr>
                                            </tbody>
                                        </table>

                                        <!-- 辅助检查-->
                                        <div class="title">辅助检查</div>
                                        <div class="JDWaring text-left"><span class="col-lg-2">肌电图结果提示：</span><input
                                                    class="col-lg-10" type="text"></div>

                                        <div class="div_fu">
                                            <table class="table-bordered table table_fz1">
                                                <thead>
                                                <tr>
                                                    <th class="col-lg-3">运动神经传导</th>
                                                    <th class="col-lg-3">左（－／＋）</th>
                                                    <th class="col-lg-3">右（－／＋）</th>
                                                    <th class="col-lg-3">备注</th>
                                                </tr>
                                                </thead>
                                                <tbody>
                                                <tr class="radioTr">
                                                    <td>尺神经</td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub L" name="csjL1"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub L" name="csjL1"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub L"
                                                                                                      name="csjL1"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub R" name="csjR1"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub R" name="csjR1"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub R"
                                                                                                      name="csjR1"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <textarea maxlength="500" name="" id="" cols="30"
                                                                  rows="10"></textarea>
                                                    </td>
                                                </tr>
                                                <tr class="radioTr">
                                                    <td>正中神经</td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub L" name="zzsjL1"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub L" name="zzsjL1"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub L"
                                                                                                      name="zzsjL1"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub R" name="zzsjR1"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub R" name="zzsjR1"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub R"
                                                                                                      name="zzsjR1"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <textarea maxlength="500" name="" id="" cols="30"
                                                                  rows="10"></textarea>
                                                    </td>
                                                </tr>
                                                <tr class="radioTr">
                                                    <td>胫神经</td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub L" name="jsjL1"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub L" name="jsjL1"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub L"
                                                                                                      name="jsjL1"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub R" name="jsjR1"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub R" name="jsjR1"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub R"
                                                                                                      name="jsjR1"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <textarea maxlength="500" name="" id="" cols="30"
                                                                  rows="10"></textarea>
                                                    </td>
                                                </tr>
                                                <tr class="radioTr">
                                                    <td>腓总神经</td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub L" name="fzsjL1"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub L" name="fzsjL1"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub L"
                                                                                                      name="fzsjL1"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub R" name="fzsjR1"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub R" name="fzsjR1"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub R"
                                                                                                      name="fzsjR1"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <textarea maxlength="500" name="" id="" cols="30"
                                                                  rows="10"></textarea>
                                                    </td>
                                                </tr>
                                                </tbody>
                                            </table>
                                            <table class="table-bordered table table_fz2">
                                                <thead>
                                                <tr>
                                                    <th class="col-lg-3">感觉神经传导</th>
                                                    <th class="col-lg-3">左（－／＋）</th>
                                                    <th class="col-lg-3">右（－／＋）</th>
                                                    <th class="col-lg-3">备注</th>
                                                </tr>
                                                </thead>
                                                <tbody>
                                                <tr class="radioTr">
                                                    <td>尺神经</td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub L" name="csjL2"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub L" name="csjL2"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub L"
                                                                                                      name="csjL2"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub R" name="csjR2"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub R" name="csjR2"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub R"
                                                                                                      name="csjR2"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <textarea maxlength="500" name="" id="" cols="30"
                                                                  rows="10"></textarea>
                                                    </td>
                                                </tr>
                                                <tr class="radioTr">
                                                    <td>正中神经</td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub L" name="zzsjL2"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub L" name="zzsjL2"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub L"
                                                                                                      name="zzsjL2"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub R" name="zzsjR2"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub R" name="zzsjR2"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub R"
                                                                                                      name="zzsjR2"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <textarea maxlength="500" name="" id="" cols="30"
                                                                  rows="10"></textarea>
                                                    </td>
                                                </tr>
                                                <tr class="radioTr">
                                                    <td>腓浅神经</td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub L" name="fqsjL2"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub L" name="fqsjL2"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub L"
                                                                                                      name="fqsjL2"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub R" name="fqsjR2"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub R" name="fqsjR2"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub R"
                                                                                                      name="fqsjR2"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <textarea maxlength="500" ame="" id="" cols="30"
                                                                  rows="10"></textarea>
                                                    </td>
                                                </tr>
                                                <tr class="radioTr">
                                                    <td>腓肠神经</td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub L" name="fcsjL2"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub L" name="fcsjL2"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub L"
                                                                                                      name="fcsjL2"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="addSub R" name="fcsjR2"
                                                                                         value="1"
                                                                                         type="radio"> <span>-</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="addSub R" name="fcsjR2"
                                                                                         value="2"
                                                                                         type="radio"><span>+</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none"><input checked
                                                                                                      class="addSub R"
                                                                                                      name="fcsjR2"
                                                                                                      value="0"
                                                                                                      type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <textarea maxlength="500" name="" id="" cols="30"
                                                                  rows="10"></textarea>
                                                    </td>
                                                </tr>
                                                </tbody>
                                            </table>
                                        </div>


                                    </form>


                                </div>
                                <div class="row margin-top-20 yk">

                                    <form class="yankeForm" action="">

                                        <!-- 眼科一般检查-->
                                        <div class="title">眼科一般检查</div>
                                        <div class="div_eyeNormal">
                                            <table class="table-bordered table table_yk_normal">
                                                <thead>
                                                <tr>
                                                    <th class="col-lg-3">检查项目</th>
                                                    <th class="col-lg-3">右眼（OD）</th>
                                                    <th class="col-lg-3">左眼（OS）</th>
                                                    <th class="col-lg-3">备注</th>
                                                </tr>
                                                </thead>
                                                <tbody>

                                                <tr class="eyeNormalTr" data-inspect-type="1">
                                                    <td>视力（矫正）</td>
                                                    <td>
                                                        <div class="col-lg-12">
                                                            <input class="eyeNormalInput" data-type="right"
                                                                   name="jiaozhengR" type="text">
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <div class="col-lg-12">
                                                            <input class="eyeNormalInput" data-type="left"
                                                                   name="jiaozhengL" type="text">
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <div class="eyeNormalTexarea">
                                                            EDTRS 国际视力表
                                                        </div>
                                                    </td>
                                                </tr>
                                                <tr class="">
                                                    <td colspan="4">眼科常规</td>
                                                </tr>
                                                <tr class="eyeNormalTr" data-inspect-type="2" data-routine-type="1">
                                                    <td>眼压（mmHg）</td>
                                                    <td>
                                                        <div class="col-lg-12">
                                                            <input class="eyeNormalInput" data-type="right"
                                                                   name="yanyaR" type="text">
                                                        </div>

                                                    </td>
                                                    <td>
                                                        <div class="col-lg-12">
                                                            <input class="eyeNormalInput" data-type="left" name="yanyaL"
                                                                   type="text">
                                                        </div>

                                                    </td>
                                                    <td rowspan="99">
                                                        <div class="eyeNormalTexarea">
                                                            混浊可描述为：-无混浊、+有混浊但不影响检查、++中度混浊已影响检查、+++严重混浊眼底无法窥及等。
                                                        </div>
                                                    </td>
                                                </tr>
                                                <tr class="eyeNormalTr" data-inspect-type="2" data-routine-type="2">
                                                    <td>眼前节</td>
                                                    <td>
                                                        <div class="col-lg-12">
                                                            <input class="eyeNormalInput" data-type="right"
                                                                   name="yanyaR" type="text">
                                                        </div>
                                                    </td>
                                                    <td>
                                                        <div class="col-lg-12">
                                                            <input class="eyeNormalInput" data-type="left" name="yanyaL"
                                                                   type="text">
                                                        </div>
                                                    </td>
                                                </tr>
                                                <tr class="eyeNormalTr" data-inspect-type="2" data-routine-type="3">
                                                    <td>晶状体（请描述混浊情况）</td>
                                                    <td>
                                                        <div class="col-lg-12">
                                                            <input class="eyeNormalInput" data-type="right" name="jztR"
                                                                   type="text">
                                                        </div>
                                                    </td>
                                                    <td>
                                                        <div class="col-lg-12">
                                                            <input class="eyeNormalInput" data-type="left" name="jztL"
                                                                   type="text">
                                                        </div>
                                                    </td>
                                                </tr>
                                                <tr class="eyeNormalTr" data-inspect-type="2" data-routine-type="4">
                                                    <td>玻璃体（请描述混浊情况）</td>
                                                    <td>
                                                        <div class="col-lg-12">
                                                            <input class="eyeNormalInput" data-type="right" name="bltR"
                                                                   type="text">
                                                        </div>
                                                    </td>
                                                    <td>
                                                        <div class="col-lg-12">
                                                            <input class="eyeNormalInput" data-type="left" name="bltL"
                                                                   type="text">
                                                        </div>
                                                    </td>
                                                </tr>

                                                </tbody>
                                            </table>
                                        </div>

                                        <!-- 眼底改变 -->
                                        <div class="title">眼底改变</div>
                                        <div class="div_eyeChange">
                                            <table class="table-bordered table table_yk_change">
                                                <thead>
                                                <tr>
                                                    <th class="" colspan="2" rowspan="2">项目</th>
                                                    <th class=" a" colspan="2">右眼（OD）</th>
                                                    <th class=" a" colspan="2">左眼（OS）</th>
                                                    <th class="" rowspan="2" colspan="2">备注</th>
                                                </tr>
                                                <tr>
                                                    <th class="">象限数</th>
                                                    <th class="">病变数</th>
                                                    <th class="">象限数</th>
                                                    <th class="">病变数</th>
                                                </tr>
                                                </thead>
                                                <tbody>
                                                <tr class="eyeChangeTr" data-project-type="1">
                                                    <td class="col-lg-2">微血管瘤</td>
                                                    <td class="col-lg-2">
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="eyeChangeRadio"
                                                                                         name="wxgl" value="1"
                                                                                         type="radio"> <span>无</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="eyeChangeRadio"
                                                                                         name="wxgl" value="2"
                                                                                         type="radio"><span>有</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none">
                                                                <input checked class="eyeChangeRadio" name="wxgl"
                                                                       value="0" type="radio"><span></span>
                                                            </div>
                                                        </div>
                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="wxglRX" type="number"
                                                                   data-type="right_quadrant">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="wxglRB" type="number"
                                                                   data-type="right_pathological_changes">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="wxglLX" type="number"
                                                                   data-type="left_quadrant">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="wxglLB" type="number"
                                                                   data-type="left_pathological_changes">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-2" rowspan="6">
                                                        <div class="eyeNormalTexarea">
                                                            请尽量描述具体病变数,每个象限大于20个时，请注明"不可数"
                                                        </div>
                                                    </td>
                                                </tr>

                                                <tr class="eyeChangeTr" data-project-type="2">
                                                    <td class="col-lg-2">出血</td>
                                                    <td class="col-lg-2">
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="eyeChangeRadio"
                                                                                         name="cx" value="1"
                                                                                         type="radio"> <span>无</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="eyeChangeRadio"
                                                                                         name="cx" value="2"
                                                                                         type="radio"><span>有</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none">
                                                                <input checked class="eyeChangeRadio" name="cx"
                                                                       value="0" type="radio"><span></span>
                                                            </div>
                                                        </div>
                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="cxRX" type="number"
                                                                   data-type="right_quadrant">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="cxRB" type="number"
                                                                   data-type="right_pathological_changes">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="cxLX" type="number"
                                                                   data-type="left_quadrant">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="cxLB" type="number"
                                                                   data-type="left_pathological_changes">
                                                        </div>
                                                    </td>
                                                </tr>


                                                <tr class="eyeChangeTr" data-project-type="3">
                                                    <td class="col-lg-2">渗出</td>
                                                    <td class="col-lg-2">
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="eyeChangeRadio"
                                                                                         name="sx" value="1"
                                                                                         type="radio"> <span>无</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="eyeChangeRadio"
                                                                                         name="sx" value="2"
                                                                                         type="radio"><span>有</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none">
                                                                <input checked class="eyeChangeRadio" name="sx"
                                                                       value="0" type="radio"><span></span>
                                                            </div>
                                                        </div>
                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="sxRX" type="number"
                                                                   data-type="right_quadrant">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="sxRB" type="number"
                                                                   data-type="right_pathological_changes">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="sxLX" type="number"
                                                                   data-type="left_quadrant">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="sxLB" type="number"
                                                                   data-type="left_pathological_changes">
                                                        </div>
                                                    </td>
                                                </tr>


                                                <tr class="eyeChangeTr" data-project-type="4">
                                                    <td class="col-lg-2">视网膜内微血管异常</td>
                                                    <td class="col-lg-2">
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="eyeChangeRadio"
                                                                                         name="wxgyc" value="1"
                                                                                         type="radio"> <span>无</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="eyeChangeRadio"
                                                                                         name="wxgyc" value="2"
                                                                                         type="radio"><span>有</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none">
                                                                <input checked class="eyeChangeRadio" name="wxgyc"
                                                                       value="0" type="radio"><span></span>
                                                            </div>
                                                        </div>
                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="wxgycRX" type="number"
                                                                   data-type="right_quadrant">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="wxgycRB" type="number"
                                                                   data-type="right_pathological_changes">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="wxgycLX" type="number"
                                                                   data-type="left_quadrant">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="wxgycLB" type="number"
                                                                   data-type="left_pathological_changes">
                                                        </div>
                                                    </td>
                                                </tr>


                                                <tr class="eyeChangeTr" data-project-type="5">
                                                    <td class="col-lg-2">视网膜静脉串珠样改变</td>
                                                    <td class="col-lg-2">
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="eyeChangeRadio"
                                                                                         name="jmczygb" value="1"
                                                                                         type="radio"> <span>无</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="eyeChangeRadio"
                                                                                         name="jmczygb" value="2"
                                                                                         type="radio"><span>有</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none">
                                                                <input checked class="eyeChangeRadio" name="jmczygb"
                                                                       value="0" type="radio"><span></span>
                                                            </div>
                                                        </div>
                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="jmczygbRX" type="number"
                                                                   data-type="right_quadrant">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="jmczygbRB" type="number"
                                                                   data-type="right_pathological_changes">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="jmczygbLX" type="number"
                                                                   data-type="left_quadrant">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="jmczygbLB" type="number"
                                                                   data-type="left_pathological_changes">
                                                        </div>
                                                    </td>
                                                </tr>


                                                <tr class="eyeChangeTr" data-project-type="6">
                                                    <td class="col-lg-2">新生血管</td>
                                                    <td class="col-lg-2">
                                                        <div class="radio">
                                                            <div class="col-lg-6"><input class="eyeChangeRadio"
                                                                                         name="xsxg" value="1"
                                                                                         type="radio"> <span>无</span>
                                                            </div>
                                                            <div class="col-lg-6"><input class="eyeChangeRadio"
                                                                                         name="xsxg" value="2"
                                                                                         type="radio"><span>有</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none">
                                                                <input checked class="eyeChangeRadio" name="xsxg"
                                                                       value="0" type="radio"><span></span>
                                                            </div>
                                                        </div>
                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="xsxgRX" type="number"
                                                                   data-type="right_quadrant">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="xsxgRB" type="number"
                                                                   data-type="right_pathological_changes">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="xsxgLX" type="number"
                                                                   data-type="left_quadrant">
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1">
                                                        <div class="col-lg-12">
                                                            <input class="eyeChangeInput" name="xsxgLB" type="number"
                                                                   data-type="left_pathological_changes">
                                                        </div>
                                                    </td>
                                                </tr>


                                                <tr class="eyeChangeTrRetinopathy">
                                                    <td class="col-lg-2" colspan="2">糖尿病视网膜病变严重程度</td>
                                                    <td class="col-lg-1 text-left RightTd" colspan="2">
                                                        <div class="radio">
                                                            <div class="col-lg-12 w_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="tnbswmyzcdR" value="1"
                                                                        type="radio"> <span>无</span>
                                                            </div>
                                                            <div class="col-lg-12 w_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="tnbswmyzcdR" value="2"
                                                                        type="radio"><span>轻度非增殖期</span>
                                                            </div>
                                                            <div class="col-lg-12 w_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="tnbswmyzcdR" value="3"
                                                                        type="radio"><span>中度非增殖期</span>
                                                            </div>
                                                            <div class="col-lg-12 w_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="tnbswmyzcdR" value="4"
                                                                        type="radio"><span>重度非增殖期</span>
                                                            </div>
                                                            <div class="col-lg-12 w_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="tnbswmyzcdR" value="5"
                                                                        type="radio"><span>增殖期</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none">
                                                                <input checked class="eyeChangeRadio" name="tnbswmyzcdR"
                                                                       value="0" type="radio"><span></span>
                                                            </div>
                                                        </div>
                                                    </td>
                                                    <td class="col-lg-1 text-left LeftTd" colspan="2">
                                                        <div class="radio">
                                                            <div class="col-lg-12 w_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="tnbswmyzcdL" value="1"
                                                                        type="radio"> <span>无</span>
                                                            </div>
                                                            <div class="col-lg-12 w_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="tnbswmyzcdL" value="2"
                                                                        type="radio"><span>轻度非增殖期</span>
                                                            </div>
                                                            <div class="col-lg-12 w_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="tnbswmyzcdL" value="3"
                                                                        type="radio"><span>中度非增殖期</span>
                                                            </div>
                                                            <div class="col-lg-12 w_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="tnbswmyzcdL" value="4"
                                                                        type="radio"><span>重度非增殖期</span>
                                                            </div>
                                                            <div class="col-lg-12 w_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="tnbswmyzcdL" value="5"
                                                                        type="radio"><span>增殖期</span>
                                                            </div>
                                                            <div class="col-lg-12 display-none">
                                                                <input checked class="eyeChangeRadio" value="0"
                                                                       name="tnbswmyzcdR"
                                                                       type="radio"><span></span>
                                                            </div>
                                                        </div>

                                                    </td>
                                                    <td class="col-lg-1 text-left " colspan="2">
                                                        <textarea maxlength="500" readonly name="" id="" cols="30"
                                                                  rows="10" style="height:100%"></textarea>

                                                    </td>
                                                </tr>


                                                <tr class="eyeChangeTrBottomMacular_edema">
                                                    <td class="col-lg-2" colspan="2">黄斑水肿</td>
                                                    <td class="col-lg-1 text-left RightTd" colspan="2">
                                                        <div class="radio">
                                                            <div class="col-lg-12 p_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="hbszR" value="1"
                                                                        type="radio"> <span>无</span>
                                                            </div>
                                                            <div class="col-lg-12 p_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="hbszR" value="2"
                                                                        type="radio"><span>有</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none">
                                                                <input checked class="eyeChangeRadio" name="hbszR"
                                                                       value="0" type="radio"><span></span>
                                                            </div>

                                                        </div>

                                                        <div class="col-lg-12 text-left">
                                                            <span>如有，水肿边缘距离中心凹最短距离</span>
                                                            <input checked class="eyeChangeRadio" style="width:50px"
                                                                   name="hbszLengthR"
                                                                   type="number"><span></span>
                                                            <span>mm;</span>
                                                            <br>
                                                            <span>黄斑区视网膜厚度</span>
                                                            <input checked class="eyeChangeRadio" style="width:50px"
                                                                   name="hbszHeightR"
                                                                   type="number"><span></span>
                                                            <span>mm</span>
                                                        </div>
                                                    </td>
                                                    <td class="col-lg-1 text-left LeftTd" colspan="2">
                                                        <div class="radio">
                                                            <div class="col-lg-12 w_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="hbszL" value="1"
                                                                        type="radio"> <span>无</span>
                                                            </div>
                                                            <div class="col-lg-12 w_divInput"><input
                                                                        class="eyeChangeRadio"
                                                                        name="hbszL" value="2"
                                                                        type="radio"><span>有</span>
                                                            </div>
                                                            <div class="col-lg-6 display-none">
                                                                <input checked class="eyeChangeRadio" name="hbszL"
                                                                       value="0" type="radio"><span></span>
                                                            </div>

                                                        </div>

                                                        <div class="col-lg-12 text-left">
                                                            <span>如有，水肿边缘距离中心凹最短距离</span>
                                                            <input checked class="eyeChangeRadio" style="width:50px"
                                                                   name="hbszLengthL"
                                                                   type="number"><span></span>
                                                            <span>mm;</span>
                                                            <br>
                                                            <span>黄斑区视网膜厚度</span>
                                                            <input checked class="eyeChangeRadio" style="width:50px"
                                                                   name="hbszHeightL"
                                                                   type="number"><span></span>
                                                            <span>mm</span>
                                                        </div>
                                                    </td>
                                                    <td class="col-lg-1 text-left" colspan="2">
                                                        <textarea maxlength="500" name="" id="" readonly cols="30"
                                                                  rows="10" style="height:100%"></textarea>

                                                    </td>

                                                </tr>


                                                </tbody>
                                            </table>
                                        </div>


                                    </form>


                                </div>

                            </div>

                            <!--保存按钮-->
                            <div class="row margin-top-20 zwsjbbSave">
                                <div class="col-xs-6 text-right">
                                    <button type="button" class="btn btn-outline btn-primary btn-lg" id="bfzSave">保存
                                    </button>
                                </div>
                                <div class="col-xs-6 text-left">
                                    <button type="button" class="btn btn-outline btn-primary btn-lg" id="bfzSaveNext"
                                            data-url="{{ route('manage.view.index') }}">保存并返回
                                    </button>
                                </div>
                            </div>

                            <!--保存按钮-->
                            <div class="row margin-top-20 ykSave display-none">
                                <div class="col-xs-6 text-right">
                                    <button type="button" class="btn btn-outline btn-primary btn-lg" id="bfzSave2">保存
                                    </button>
                                </div>
                                <div class="col-xs-6 text-left">
                                    <button type="button" class="btn btn-outline btn-primary btn-lg" id="bfzSaveNext2"
                                            data-url="{{ route('manage.view.index') }}">保存并返回
                                    </button>
                                </div>
                            </div>

                        </div>
                    </div>
                </div>

                <!--眼底档案-->
                <div class="tab-pane" id="yandidangan">
                    <div class="row">
                        <div class="col-xs-12 text-center">
                            <ul class="nav nav-tabs eyeNav" role="tablist">
                                {{--<li><a href="#uploadSearch" data-toggle="tab">上传查询</a></li>--}}
                                <li class="active"><a href="#cardSearch" data-toggle="tab">身份证查询</a></li>
                                <li class=""><a href="#uploadSearchSG" id="ShangGong" data-toggle="tab">眼底照片查询</a></li>
                            </ul>

                            <div class="tab-content">
                                <!--上传查询-->
                                <div class="tab-pane" id="uploadSearch">

                                    <!--图片上传-->
                                    <div id="uploaderEye" class="row margin-top-15 padding-left-15">

                                        <!--用来存放item-->
                                        <div id="eyeList" class="uploader-list"></div>
                                        <!--上传按钮-->
                                        <div class="col-xs-2 imgUploadBtn">
                                            <div id="eyePicker"></div>
                                        </div>

                                    </div>

                                    <!--开始评估按钮-->
                                    <div class="row margin-top-15">
                                        <div class="col-xs-12 text-left">
                                            <button type="button" class="btn btn-primary but_Fonts" id="evaluateBtn">
                                                开始评估
                                            </button>
                                        </div>
                                    </div>
                                    <div class="row margin-top-15" id="uploadSearchResult"></div>

                                </div>

                                <!--上工医信查询-->
                                <div class="tab-pane" id="uploadSearchSG">

                                    <!--图片上传-->
                                    <div id="uploaderEyeSG" class="row margin-top-15 padding-left-15">

                                        <!--用来存放item-->
                                        <div id="eyeListSG" class="uploader-list"></div>
                                        <!--上传按钮-->
                                        <div class="col-xs-2 imgUploadBtn">
                                            <div id="eyePickerSG"></div>
                                        </div>

                                    </div>


                                    <!--开始评估按钮-->
                                    <div class="row margin-top-15">
                                        <div class="col-xs-12 text-left">
                                            <button type="button" class="btn btn-primary but_Fonts" id="evaluateBtnSG">
                                                开始评估
                                            </button>
                                            <button type="button" class="btn btn-primary but_Fonts" id="SeeBackBtnSG">
                                                查看评估结果
                                            </button>
                                        </div>
                                    </div>

                                    <div class="row margin-top-15" id="uploadSearchResultSG"></div>

                                </div>
                                <!--身份证查询-->
                                <div class="tab-pane active" id="cardSearch">
                                    <div class="cardSearchBox">
                                        <span class="input-title">身份证号</span>
                                        <input type="text" placeholder="请输入身份证号" class="form-control but_Fonts"
                                               maxlength="18">
                                        <button type="button" class="btn btn-primary but_Fonts" id="cardNoSearch">查询
                                        </button>
                                    </div>
                                    <div class="row" id="cardSearchResult">
                                        {{--
                                        <div class="col-xs-12">
                                            <div class="ibox float-e-margins">
                                                <div class="ibox-title eyeSearchResults">
                                                    <h5>筛查时间：2017-09-08</h5>
                                                    <div class="ibox-tools">
                                                        <a class="collapse-link">
                                                            <i class="fa fa-chevron-up"></i>
                                                        </a>
                                                    </div>
                                                </div>
                                                <div class="ibox-content eyeResultsBox">
                                                    <table class="eyeResultsTable1">
                                                        <tbody>
                                                        <tr>
                                                            <td colspan="2">左眼视力：0.06/3.6</td>
                                                            <td colspan="2">左眼视力：0.06/3.6</td>
                                                        </tr>
                                                        <tr>
                                                            <td>屈光度OD(右)</td>
                                                            <td>球镜：300</td>
                                                            <td>柱镜：600</td>
                                                            <td>轴位：600</td>
                                                        </tr>
                                                        <tr>
                                                            <td>屈光度OD(右)</td>
                                                            <td>球镜：300</td>
                                                            <td>柱镜：600</td>
                                                            <td>轴位：600</td>
                                                        </tr>
                                                        </tbody>
                                                    </table>

                                                    <p class="eyeResultsTitle">影像</p>
                                                    <div class="imageResult">
                                                        <dl>
                                                            <dt>
                                                                <img src="images/blueLogo.png">
                                                            </dt>
                                                            <dd>说明文字</dd>
                                                        </dl>
                                                        <dl>
                                                            <dt>
                                                                <img src="images/blueLogo.png">
                                                            </dt>
                                                            <dd>说明文字</dd>
                                                        </dl>
                                                        <dl>
                                                            <dt>
                                                                <img src="images/blueLogo.png">
                                                            </dt>
                                                            <dd>说明文字</dd>
                                                        </dl>
                                                        <dl>
                                                            <dt>
                                                                <img src="images/blueLogo.png">
                                                            </dt>
                                                            <dd>说明文字</dd>
                                                        </dl>
                                                        <dl>
                                                            <dt>
                                                                <img src="images/blueLogo.png">
                                                            </dt>
                                                            <dd>说明文字</dd>
                                                        </dl>
                                                    </div>

                                                    <p class="eyeResultsTitle">评估</p>
                                                    <p class="eyeResultsText">
                                                        OD（右眼）：糖尿病视网膜病变I期（轻度非增殖期）
                                                    </p>
                                                    <p class="eyeResultsText">
                                                        OD（右眼）：糖尿病视网膜病变I期（轻度非增殖期）
                                                    </p>

                                                    <p class="eyeResultsTitle">综合建议</p>
                                                    <p class="eyeResultsText">
                                                        请继续控制血糖，建议到医院眼科进行进一步检查和治疗
                                                    </p>

                                                    <p class="eyeResultsTitle">影像所见</p>
                                                    <span class="tableTitle">OD（右眼）影像分析</span>
                                                    <table class="eyeResultsTable2">
                                                        <tbody>
                                                        <tr>
                                                            <td>观察项</td>
                                                            <td>观察值</td>
                                                            <td>备注</td>
                                                        </tr>
                                                        <tr>
                                                            <td>图片质量评估</td>
                                                            <td>
                                                                <span>综合评分：81（优）</span>
                                                                <span>明暗评估：正常</span>
                                                                <span>有无漏洞：无</span>
                                                            </td>
                                                            <td>
                                                                图片质量综合评分从差到优的取值范围是0-100
                                                            </td>
                                                        </tr>
                                                        <tr>
                                                            <td>出血点（个数）</td>
                                                            <td>17</td>
                                                            <td></td>
                                                        </tr>
                                                        <tr>
                                                            <td>出血点总面积（mm<sup>2</sup>）</td>
                                                            <td>17</td>
                                                            <td></td>
                                                        </tr>
                                                        <tr>
                                                            <td>出血点最大面积（mm<sup>2</sup>）</td>
                                                            <td>17</td>
                                                            <td></td>
                                                        </tr>
                                                        <tr>
                                                            <td>渗出（个数）</td>
                                                            <td>17</td>
                                                            <td></td>
                                                        </tr>
                                                        <tr>
                                                            <td>渗出总面积（mm<sup>2</sup>）</td>
                                                            <td>17</td>
                                                            <td></td>
                                                        </tr>
                                                        <tr>
                                                            <td>渗出最大面积（mm<sup>2</sup>）</td>
                                                            <td>17</td>
                                                            <td></td>
                                                        </tr>
                                                        </tbody>
                                                    </table>
                                                    <span class="tableTitle">OD（右眼）影像分析</span>
                                                    <table class="eyeResultsTable2">
                                                        <tbody>
                                                        <tr>
                                                            <td>观察项</td>
                                                            <td>观察值</td>
                                                            <td>备注</td>
                                                        </tr>
                                                        <tr>
                                                            <td>图片质量评估</td>
                                                            <td>
                                                                <span>综合评分：81（优）</span>
                                                                <span>明暗评估：正常</span>
                                                                <span>有无漏洞：无</span>
                                                            </td>
                                                            <td>
                                                                图片质量综合评分从差到优的取值范围是0-100
                                                            </td>
                                                        </tr>
                                                        <tr>
                                                            <td>出血点（个数）</td>
                                                            <td>17</td>
                                                            <td></td>
                                                        </tr>
                                                        <tr>
                                                            <td>出血点总面积（mm<sup>2</sup>）</td>
                                                            <td>17</td>
                                                            <td></td>
                                                        </tr>
                                                        <tr>
                                                            <td>出血点最大面积（mm<sup>2</sup>）</td>
                                                            <td>17</td>
                                                            <td></td>
                                                        </tr>
                                                        <tr>
                                                            <td>渗出（个数）</td>
                                                            <td>17</td>
                                                            <td></td>
                                                        </tr>
                                                        <tr>
                                                            <td>渗出总面积（mm<sup>2</sup>）</td>
                                                            <td>17</td>
                                                            <td></td>
                                                        </tr>
                                                        <tr>
                                                            <td>渗出最大面积（mm<sup>2</sup>）</td>
                                                            <td>17</td>
                                                            <td></td>
                                                        </tr>
                                                        </tbody>
                                                    </table>

                                                    <p class="endTitle">报告日期：2017年3月26日 阅片中心</p>
                                                </div>
                                            </div>
                                        </div>
                                        --}}
                                    </div>
                                </div>

                            </div>
                        </div>
                    </div>
                </div>


            </div>

            <!-- 添加症状Modal -->
            <div class="modal fade" id="addSymptom" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"
                 aria-hidden="true" data-backdrop="static" data-keyboard=false>
                <div class="modal-dialog" role="document">
                    <div class="modal-content">
                        <div class="modal-header">
                            <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span
                                        aria-hidden="true">&times;</span></button>
                            <h3 class="modal-title" id="myModalLabel">
                                选择主要症状
                                <span class="text-muted symptom-text">最多可添加5项</span>
                            </h3>
                        </div>
                        <div class="diseaseSearchBox">
                            <div class="SE"><i class="glyphicon glyphicon-search"></i><input id="diseSearchInput" type="text" placeholder="搜索病症名称"> <button class="diseSearchInputBtn btn btn-primary">搜索</button></div>
                            <div class="diseaseTab">
                                <ul class="diseaseTabUl">
                                    <li class="diseaseTabLi active">糖尿病</li>
                                    <li class="diseaseTabLi thyroidTabLi">甲状腺</li>
                                </ul>
                            </div>
                        </div>
                        <div class="modal-body modal-body-main modal-body-diabetes">
                            <img src="{{ asset('images/loading.gif') }}">
                        </div>
                        <div class="modal-body-thyroid modal-body-main" style="display:none">
                            <img src="{{ asset('images/loading.gif') }}">
                        </div>
                        <div class="modal-body-search" style="display:none">
                            <img src="{{ asset('images/loading.gif') }}">
                        </div>
                        <div class="modal-footer">
                            <button type="button" class="btn btn-default" data-dismiss="modal">取消</button>
                            <button type="button" class="btn btn-primary" data-dismiss="modal" id="saveSymptom">添加
                            </button>
                        </div>
                    </div>
                </div>
            </div>
            <!-- 添加中医诊断分型Modal -->

            <div class="modal fade" id="addCnDiagnoseType" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"
                 aria-hidden="true" data-backdrop="static" data-keyboard=false>
                <div class="modal-dialog" role="document" id="chineseMedicalDiagnosis">
                    <div class="modal-content">
                        <div class="modal-header">
                            {{--<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span--}}
                            {{--aria-hidden="true">&times;</span></button>--}}
                            <h3 class="modal-title" id="myModalLabel">添加中医诊断</h3>
                            <div class="searchParent1">
                                <input type="text" placeholder="搜索"><i class='search fa fa-search'></i>
                            </div>
                            <div class="searchParent2">
                                <input type="text" placeholder="搜索"><i class='search2 fa fa-search'></i>
                            </div>

                            <div></div>
                        </div>
                        <div class="modal-body">
                            <p><a href="" class="Fa">诊断名称</a></p>
                            <ul class="main1"></ul>
                            <ul class="main2"></ul>
                            <ul class="main3"></ul>
                            {{--<p id="CCpageShow"></p>--}}

                            {{--                            <img src="{{ asset('images/loading.gif') }}">--}}
                        </div>
                        <ul id="mianPageUl" class="pagination"></ul>

                        <div class="modal-footer">
                            <button type="button" class="btn btn-default" id="addCMCancel" data-dismiss="modal">取消
                            </button>
                            <button type="button" class="btn btn-primary" data-dismiss="" id="saveCnDiagnoseType">
                                添加
                            </button>
                        </div>
                    </div>
                    <div class="modal_right">
                        <button type="button" style="margin:10px" class="close" id="addCMX" data-dismiss="modal"
                                aria-label="Close"><span
                                    aria-hidden="true">&times;</span></button>
                        <div class="text">已添加诊断</div>
                        <div class="ccViewShow">
                            <ul id="ulShow">
                                {{--<li name="">--}}
                                {{--<div class="top">--}}
                                {{--<div class="one"></div>--}}
                                {{--<i></i>--}}
                                {{--</div>--}}
                                {{--<div class="bottom">--}}
                                {{--<div class="two"></div>--}}
                                {{--<div class="thr"><span>挟：</span><span class="three"></span></div>--}}
                                {{--</div>--}}
                                {{--</li>--}}
                            </ul>
                        </div>
                        <button class="sure" data-dismiss="modal">完成</button>

                    </div>
                </div>
            </div>
        {{--<div class="modal fade" id="addCnDiagnoseType" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"--}}
        {{--aria-hidden="true" data-backdrop="static" data-keyboard=false>--}}
        {{--<div class="modal-dialog" role="document">--}}
        {{--<div class="modal-content">--}}
        {{--<div class="modal-header">--}}
        {{--<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span--}}
        {{--aria-hidden="true">&times;</span></button>--}}
        {{--<h3 class="modal-title" id="myModalLabel">选择主要诊断分型</h3>--}}
        {{--</div>--}}
        {{--<div class="modal-body">--}}
        {{--<img src="{{ asset('images/loading.gif') }}">--}}
        {{--</div>--}}
        {{--<div class="modal-footer">--}}
        {{--<button type="button" class="btn btn-default" data-dismiss="modal">取消</button>--}}
        {{--<button type="button" class="btn btn-primary" data-dismiss="modal" id="saveCnDiagnoseType">添加--}}
        {{--</button>--}}
        {{--</div>--}}
        {{--</div>--}}
        {{--</div>--}}
        {{--</div>--}}
        <!-- 添加用药Modal -->
            <div class="modal fade" id="addMedication" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"
                 aria-hidden="true" data-backdrop="static" data-keyboard=false>
                <div class="modal-dialog" role="document">
                    <div class="modal-content">
                        <div class="modal-header">
                            <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span
                                        aria-hidden="true">&times;</span></button>
                            <h3 class="modal-title">用药详情</h3>
                        </div>
                        <div class="modal-body">
                            <div class="InsulinTypeChoose">
                                <label for="InsulinMedication" class="active col-xs-4 "> <input
                                            name="MedicationTypeChoose" id="InsulinMedication" checked type="radio">胰岛素</label>
                                <label for="NoInsulinMedication" class="col-xs-4 col-xs-offset-4 "> <input
                                            name="MedicationTypeChoose" id="NoInsulinMedication"
                                            type="radio">口服药</label>
                            </div>
                            <form>

                                <div class="mess-box mess-box-all">
                                    <span>服用药物</span>
                                    <div class="inputSelect">
                                        <input type="text" name="drugsid" autocomplete="off"
                                               class="form-control input-content inputSearch"
                                               placeholder="只显示100条药品，输入药品名称可快速查询并添加">
                                        <ul class="medicationList" style="display:none"></ul>
                                        {{--<ul class="medicationList display-none"></ul>--}}
                                    </div>
                                </div>
                                <div class="mess-box jl-box mess-box-all">
                                    <span>剂量</span>
                                    <div class="input-three">
                                        <select class="form-control m-b input-content margin-bottom-0 padding-left-5 padding-right-5 select-two"
                                                name="dosetype">
                                            <option value="1">每次剂量</option>
                                            <option value="2">分次剂量</option>
                                        </select>
                                        <div class="every">
                                            <input type="text" name="dose" autocomplete="off"
                                                   class="form-control  input-content maskInput1 dose dosageNum">
                                        </div>
                                        <div class="severalTimes display-none">
                                            <span>早上</span>
                                            <input type="number" name="morning" autocomplete="off"
                                                   class="form-control input-content morning dosageNum">
                                            <span>中午</span>
                                            <input type="number" name="atnoon" autocomplete="off"
                                                   class="form-control input-content atnoon dosageNum">
                                            <span>晚上</span>
                                            <input type="number" name="evening" autocomplete="off"
                                                   class="form-control input-content evening dosageNum">
                                            <span>睡前</span>
                                            <input type="number" name="sleep" autocomplete="off"
                                                   class="form-control input-content sleep dosageNum">
                                        </div>

                                        <select class="form-control m-b input-content margin-bottom-0 unit" name="unit">
                                            <option value="mg">mg</option>
                                            <option value="g">g</option>
                                            <option value="u">u</option>
                                            <option value="ug">ug</option>
                                        </select>
                                    </div>
                                </div>
                                <div class="mess-box">
                                    <span>开始时间</span>
                                    <div id="startDataInput">
                                        <input type="text" name="drugsdate" autocomplete="off"
                                               class="form-control input-content datepicker drugsdate"
                                               data-toggle="datepicker">
                                    </div>
                                </div>
                                <div class="mess-box">
                                    <span>结束时间</span>
                                    <div id="endDataInput">
                                        <input type="text" name="drugsenddate" autocomplete="off"
                                               class="form-control input-content datepicker drugsenddate"
                                               data-toggle="datepicker">
                                    </div>
                                </div>
                                <div class="mess-box">
                                    <span>用法</span>
                                    <div>
                                        <select class="form-control m-b input-content margin-bottom-0 usage"
                                                name="usage">
                                            <option value="口服">口服</option>
                                            <option value="皮下注射">皮下注射</option>
                                            <option value="嚼服">嚼服</option>
                                        </select>
                                    </div>
                                </div>
                                <div class="mess-box">
                                    <span>频次</span>
                                    <div>
                                        <select class="form-control m-b input-content margin-bottom-0 frequency"
                                                name="frequency">
                                            <option value="qd">qd</option>
                                            <option value="Bid">Bid</option>
                                            <option value="Tid">Tid</option>
                                            <option value="qn">qn</option>
                                            <option value="Qid">Qid</option>
                                            <option value="Qod">Qod</option>
                                        </select>
                                    </div>
                                </div>
                                {{--
                                <div class="mess-box">
                                    <span>患者用药</span>
                                    <div>
                                        <select class="form-control m-b input-content margin-bottom-0" name="islaw">
                                            <option value="规律" selected="">规律</option>
                                            <option value="不规律">不规律</option>
                                        </select>
                                    </div>
                                </div>
                                <div class="mess-box">
                                    <span>症状</span>
                                    <div>
                                        <select class="form-control m-b input-content margin-bottom-0" name="isbetter">
                                            <option value="无变化" selected="">无变化</option>
                                            <option value="好转">好转</option>
                                        </select>
                                    </div>
                                </div>
                                <div class="mess-box">
                                    <span>空腹血糖</span>
                                    <div class="input-two">
                                        <input type="text" name="fastingblood" class="form-control input-content bloodHighVal">
                                        <span>mmol/L</span>
                                    </div>
                                </div>
                                <div class="mess-box">
                                    <span>餐后血糖</span>
                                    <div class="input-two">
                                        <input type="text" name="mealblood" class="form-control input-content bloodHighVal">
                                        <span>mmol/L</span>
                                    </div>
                                </div>
                                --}}
                                <div class="modal-textarea-box">
                                    <span>其他备注</span>
                                    <textarea name="remark" rows="3" class="remark" maxlength="50"></textarea>
                                </div>
                            </form>
                        </div>
                        <div class="modal-footer">
                            <button type="button" class="btn btn-default closeModel" data-dismiss="modal">取消</button>
                            <button type="button" class="btn btn-primary" id="addMedicationBtn">添加</button>
                        </div>
                    </div>
                </div>
            </div>
            <!-- 选择药物Modal -->
            <div class="modal fade" id="selectDrugs" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"
                 aria-hidden="true" data-backdrop="static" data-keyboard=false>
                <div class="modal-dialog" role="document">
                    <div class="modal-content">
                        <div class="modal-header">
                            <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span
                                        aria-hidden="true">&times;</span></button>
                            <h3 class="modal-title">选择药物</h3>
                        </div>
                        <div class="modal-body">
                            <div class="selectDrugs-search">
                                <input type="text" class="form-control diagnosisName" name="diagnosisName"
                                       placeholder="请输入搜索关键字">
                                <select class="form-control m-b margin-bottom-0 diagnosisType"
                                        name="diagnosisType"></select>
                                <button type="button" class="btn btn-outline btn-primary selectDrugsSearch">搜索</button>
                            </div>
                            <div class="margin-top-15 drugListBox">
                                <img src="{{ asset('images/loading.gif') }}">
                            </div>
                            <div class="page text-right">
                                <nav>
                                    <ul class="pagination pagination-lg" id="selectDrugsPage"></ul>
                                </nav>
                            </div>
                        </div>
                        <div class="modal-footer">
                            <button type="button" class="btn btn-default closeSelectDrugsBtn" data-dismiss="modal">取消
                            </button>
                            <button type="button" class="btn btn-primary" id="addSelectDrugsBtn">添加</button>
                        </div>
                    </div>
                </div>
            </div>
            <!-- 添加支架置入时间Modal -->
            <div class="modal fade" id="addStentsTime" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"
                 aria-hidden="true" data-backdrop="static" data-keyboard=false>
                <div class="modal-dialog" role="document">
                    <div class="modal-content">
                        <div class="modal-header">
                            <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span
                                        aria-hidden="true">&times;</span></button>
                            <h3 class="modal-title">选择支架置入时间</h3>
                        </div>
                        <div class="modal-body">
                            <div class="modal-textarea-box">
                                <span>置入时间</span>
                                <input type="text" name="postingdate" class="form-control datepicker"
                                       data-toggle="datepicker" placeholder="请输入支架置入时间">
                            </div>
                        </div>
                        <div class="modal-footer">
                            <button type="button" class="btn btn-default closeAddStentsTime" data-dismiss="modal">取消
                            </button>
                            <button type="button" class="btn btn-primary" id="addStentsTimeBtn">添加</button>
                        </div>
                    </div>
                </div>
            </div>
            <!-- 添加手术Modal -->
            <div class="modal fade" id="addSurgery" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"
                 aria-hidden="true" data-backdrop="static" data-keyboard=false>
                <div class="modal-dialog" role="document">
                    <div class="modal-content">
                        <div class="modal-header">
                            <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span
                                        aria-hidden="true">&times;</span></button>
                            <h3 class="modal-title">手术史</h3>
                        </div>
                        <div class="modal-body">
                            <div class="modal-textarea-box">
                                <span>手术日期</span>
                                <input type="text" name="operationdate" class="form-control datepicker"
                                       data-toggle="datepicker" placeholder="请输入手术日期">
                            </div>
                            <div class="modal-textarea-box margin-top-15">
                                <span>手术名称</span>
                                <input type="text" name="operationname" maxlength="20" class="form-control surgeryName"
                                       placeholder="请输入手术名称">
                            </div>
                        </div>
                        <div class="modal-footer">
                            <button type="button" class="btn btn-default closeAddSurgery" data-dismiss="modal">取消
                            </button>
                            <button type="button" class="btn btn-primary" id="addSurgeryBtn">添加</button>
                        </div>
                    </div>
                </div>
            </div>
            <!-- 添加诊断Modal -->
            <div class="modal fade" id="addDiagnosis" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"
                 aria-hidden="true" data-backdrop="static" data-keyboard=false>
                <div class="modal-dialog" role="document">
                    <div class="modal-content">
                        <div class="modal-header">
                            <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span
                                        aria-hidden="true">&times;</span></button>
                            <h3 class="modal-title">添加诊断</h3>
                        </div>
                        <div class="modal-body">
                            <h4>
                                <div class="addDiagnosis-search">
                                    <div>
                                        <input type="text" class="form-control" name="diagnosisName"
                                               placeholder="请输入搜索关键字">
                                        <button type="button" class="btn btn-outline btn-primary addDiagnosisSearchBtn">
                                            搜索
                                        </button>
                                    </div>

                                </div>
                            </h4>
                            <div>
                                <div class="margin-top-15 addDiagnosis-list">
                                    <form>
                                        <table class="table-bordered table-striped table-hover text-center addDiagnosis-table">
                                            <thead>
                                            <tr>
                                                <th></th>
                                                <th>诊断名称</th>
                                                <th>ICD编号</th>
                                            </tr>
                                            </thead>
                                            <tbody>

                                            </tbody>
                                        </table>
                                    </form>
                                </div>

                            </div>
                            <div class="margin-top-15 text-right">
                                <nav>
                                    <ul class="pagination pagination-lg" id="addDiagnosisPage"></ul>
                                </nav>
                            </div>
                        </div>
                        <div class="modal-footer">
                            <button type="button" class="btn btn-default closeDiagnosisModel" data-dismiss="modal">取消
                            </button>
                            <button type="button" class="btn btn-primary" id="addDiagnosisBtn">添加</button>
                        </div>
                    </div>
                </div>
            </div>


            <!-- 添加汤药Modal -->
            <div class="modal fade" id="addTcm" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"
                 aria-hidden="true" data-backdrop="static" data-keyboard=false>
                <div class="modal-dialog" role="document">
                    <div class="modal-content">
                        <div class="modal-header">
                            <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span
                                        aria-hidden="true">&times;</span></button>
                            <h3 class="modal-title">添加汤药</h3>
                            <div id="typeChooseWes">
                                <label for="ChineseMedicine" class="active col-xs-4 "><input name="typeChooseWes"
                                                                                             id="ChineseMedicine"
                                                                                             checked
                                                                                             type="radio">中药</label>
                                <label for="zhongcheng" class="col-xs-4 col-xs-offset-4 "><input name="typeChooseWes"
                                                                                                 id="zhongcheng"
                                                                                                 type="radio">中成药</label>
                            </div>

                        </div>
                        <div class="modal-body">
                            <div class="select-tcm">
                                <div class="addModel-group">
                                    <h4 class="select-tcm-title">
                                        <span>选择药物</span>
                                        <div>
                                            <input type="text" name="tcm-search"
                                                   class="form-control input-content tcmName but_Fonts"
                                                   placeholder="请输入汤药关键字">
                                            <button type="button" class="btn btn-primary but_Fonts" id="addTcmSearchBtn"
                                                    style="margin-left: -15px;">搜索
                                            </button>
                                        </div>
                                    </h4>
                                    <div class="tcm-type">
                                        <div class="tcm-type-box">

                                        </div>
                                        <div class="zhongcheng-box" style="display:none;">
                                            <form id="zhongcheng-box-form">
                                                <div class="mess-box mess-box-all">
                                                    <span>服用药物</span>
                                                    <div class="ZCinputSelect">
                                                        <input type="text" name="ZCinputSearch"
                                                               class="form-control input-content ZCinputSearch"
                                                               placeholder="选择药物">
                                                        <ul class="ZCmedicationList" style="display: none;"></ul>
                                                    </div>
                                                </div>
                                                <div class="mess-box">
                                                    <div class="div-50">
                                                        <span>开始时间</span>
                                                        <div id="ZCstartData" class="zhongchengData"
                                                             style="display:inline-block"><input type="text"
                                                                                                 name="drugsdate"
                                                                                                 class="form-control input-content drugsdate"
                                                                                                 data-toggle="datepicker">
                                                        </div>

                                                    </div>
                                                    <div class="div-50">
                                                        <span>结束时间</span>
                                                        <div id="ZCendData" class="zhongchengData"
                                                             style="display:inline-block"><input type="text"
                                                                                                 name="drugsenddate"
                                                                                                 class="form-control input-content drugsenddate"
                                                                                                 data-toggle="datepicker">
                                                        </div>

                                                    </div>

                                                </div>

                                                <div class="mess-box">
                                                    <div class="freq">
                                                        <span>每日</span><input class="times form-control"
                                                                              type="number"><b>次</b>
                                                    </div>
                                                    <div class="freq">
                                                        <span style="width:15%">每次</span><input class="form-control num"
                                                                                                type="number"><b>
                                                            <select name="" id="ZCMedSelect">
                                                                <option value="粒">粒</option>
                                                                <option value="片">片</option>
                                                                <option value="袋">袋</option>
                                                            </select>
                                                        </b>
                                                    </div>
                                                </div>

                                                <div class="mess-box">
                                                    <div class="freq">
                                                        <span>总数</span><input class="form-control boxNum" type="number"><b>盒</b>
                                                    </div>
                                                </div>

                                            </form>
                                        </div>

                                        <div class="tcm-type-page text-right">
                                            <nav>
                                                <ul class="pagination pagination-lg margin-bottom-0" id="addTcmPage">

                                                </ul>
                                            </nav>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <div class="input-tcm">
                                <div class="selected-tcm-box padding-left-15 padding-right-15 padding-tb-10 margin-bottom-15 selectedTcm">

                                </div>
                                <div class="mess-box">
                                    <span>煎法</span>
                                    <div>
                                        <select class="form-control m-b input-content margin-bottom-0 takMethod but_Fonts"
                                                name="tangyaoJianfa">
                                            <option value="水煎服">水煎服</option>
                                            <option value="冲服">冲服</option>
                                            <option value="泡服">泡服</option>
                                            <option value="包煎">包煎</option>
                                            <option value="另煎">另煎</option>
                                            <option value="熔化">熔化</option>
                                            <option value="煎汤代水">煎汤代水</option>
                                            <option value="先煎">先煎</option>
                                            <option value="后下">后下</option>
                                        </select>
                                    </div>
                                </div>
                                <div class="mess-box">
                                    <span>频次</span>
                                    <div class="input-two-select">
                                        <select class="form-control m-b input-content margin-bottom-0 frequency1 but_Fonts"
                                                name="tangyaoPinci1">
                                            <option value="一日一剂">一日一剂</option>
                                        </select>
                                        <select class="form-control m-b input-content margin-bottom-0 frequency2 but_Fonts"
                                                name="tangyaoPinci2">
                                            <option value="两次分服">两次分服</option>
                                        </select>
                                    </div>
                                </div>
                                <div class="mess-box">
                                    <span>总数</span>
                                    <div class="input-two">
                                        <input type="number" name="fastingblood"
                                               class="form-control input-content total positiveInteger but_Fonts">
                                        <span>付</span>
                                    </div>
                                </div>
                            </div>

                        </div>
                        <div class="modal-footer">
                            <button type="button" class="btn btn-default closeModel but_Fonts" data-dismiss="modal">取消
                            </button>
                            <button type="button" class="btn btn-primary but_Fonts" id="addTcmBtn">添加</button>
                        </div>
                    </div>
                </div>
            </div>
            <!-- 添加检查方案Modal -->
            <div class="modal fade" id="addSolution" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"
                 aria-hidden="true" data-backdrop="static" data-keyboard=false>
                <div class="modal-dialog" role="document">
                    <div class="modal-content">
                        <div class="modal-header">
                            <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span
                                        aria-hidden="true">&times;</span></button>
                            <h3 class="modal-title">添加检查方案</h3>
                        </div>
                        <div class="modal-body">
                            <div class="modal-textarea-box">
                                <span>检查项目</span>
                                <input type="text" name="inspectionplanName" class="form-control inspectionplanName"
                                       maxlength="20" placeholder="请输入方案名称">
                            </div>
                        </div>
                        <div class="modal-footer">
                            <button type="button" class="btn btn-default closeModel" data-dismiss="modal">取消</button>
                            <button type="button" class="btn btn-primary" id="addSolutionBtn">添加</button>
                        </div>
                    </div>
                </div>
            </div>
            <!-- 添加家族史Modal -->
            <div class="modal fade" id="addJzsCase" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"
                 aria-hidden="true" data-backdrop="static" data-keyboard=false>
                <div class="modal-dialog" role="document">
                    <div class="modal-content">
                        <div class="modal-header">
                            <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span
                                        aria-hidden="true">&times;</span></button>
                            <h3 class="modal-title">追加家族史</h3>
                        </div>
                        <div class="modal-body">
                            <div class="modal-textarea-box">
                                <span>家族史名称</span>
                                <input type="text" name="jzsName" class="form-control jzsName" maxlength="20"
                                       placeholder="请输入家族史名称">
                            </div>
                        </div>
                        <div class="modal-footer">
                            <button type="button" class="btn btn-default" data-dismiss="modal">取消</button>
                            <button type="button" class="btn btn-primary" data-dismiss="modal" id="addJzs">添加</button>
                        </div>
                    </div>
                </div>
            </div>

            <!-- 既往史添加一组病史弹出Modal  样式和家族史相似，但后续追加数据和操作不一致 -->
            <div class="modal fade" id="addJwsCase" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"
                 aria-hidden="true" data-backdrop="static" data-keyboard=false>
                <div class="modal-dialog" role="document">
                    <div class="modal-content">
                        <div class="modal-header">
                            <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span
                                        aria-hidden="true">&times;</span></button>
                            <h3 class="modal-title">追加一组病史</h3>
                        </div>
                        <div class="modal-body">
                            <div class="modal-textarea-box">
                                <span>病史名称</span>
                                <input type="text" name="jwsName" class="form-control jwsName" maxlength="20"
                                       placeholder="请输入病史名称">
                            </div>
                        </div>
                        <div class="modal-footer">
                            <button type="button" class="btn btn-default" data-dismiss="modal">取消</button>
                            <button type="button" class="btn btn-primary" data-dismiss="modal" id="addJws">添加</button>
                        </div>
                    </div>
                </div>
            </div>


        </div>
    </div>


@endsection


@section('js')
    <!--公共检测方法 1-->
    <script>
        var patient_id = sessionStorage.getItem('patient_id');//获取患者id值
        $('input#patient_id').val(patient_id);//将病历id存入页面基本信息下隐藏输入框中
    </script>
    <script src="{{ asset('js/jquery.cookie.js') }}"></script>
    <script src="{{ asset('js/checkFunction.js') }}"></script>
    <script src="{{ asset('js/caseFirst.js') }}"></script>
    <script src="{{ asset('js/webuploader.js') }}"></script>
    <script src="{{ asset('js/casePublic.js') }}"></script>
    <script src="{{ asset('js/jquery-migrate-1.2.1.min.js') }}"></script>
    <script src="{{ asset('js/IMGUP.js') }}"></script>
@endsection